FEC Form 1 for Indiana Dental PACForm 1 for Indiana Dental PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1443637

1. Indiana Dental PAC

550 West North Street, Ste 300
Indianapolis, IN 46202
Email: tim.murphy@nonprofitcfo.net;idpac@indental.org

2. Date: 10/05/2020

3. FEC Committee ID #: C00082636 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Committee ID# C00000729
AMERICAN DENTAL ASSOCIATION POLITICAL ACTION COMMITTEE
1111 14TH STREET, NW
SUITE 1100
WASHINGTON, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Shane Springer
550 West North St Ste 300
Indianapolis, IN 46202
Title: Dir of Govt Affairs
Phone # (317) 634-2610

Treasurer:

David C Walden
PO Box 338
Ellettsville, Indiana 47429
Title: Treasurer
Phone # (317) 634-2610

Designated Agent(s):

Timothy Murphy
550 North West Street, Ste 300
Indianapolis, Indiana 46202
Title: CFO
Phone # (317) 634-2610

Shane Springer
550 West North St Ste 300
Indianapolis, Indiana 46202
Title: Dir of Govt Affairs
Phone # (317) 634-2610

Banks or Depositories

BMO Harris Bank
135 N Pennsylvania St
Indianapolis, Indiana 46204

Morgan Stanley
111 Monument Circle, Ste 3100
Indianapolis, Indiana 46204

Signed: Timothy Murphy
Date Signed: 10/05/2020

(End FEC FORM 1)

Generated Thu Sep 12 20:49:18 2024