FEC Form 1 for American Chiropractic Association PACForm 1 for American Chiropractic Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-719901

1. American Chiropractic Association PAC

1701 Clarendon Blvd
Arlington, VA 22209
Email: acapac@acatoday.com

2. Date: 04/01/2011

3. FEC Committee ID #: C00102764 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Chiropractic Association
1701 Clarendon Blvd
Arlington, Virginia 22209
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Emory Rogers
1701 Clarendon Blvd
Arlington, VA 22209
Title: Custodian
Phone # (703) 812-0228

Treasurer:

Dr Michael Simone
1701 Clarendon Blvd
Arlington, Virginia 22209
Title: Treasurer
Phone # (703) 276-8800

Designated Agent(s):

Emory Rogers
1701 Clarendon Blvd
Arlington, Virginia 22209
Title: Assistant Treasurer
Phone # (703) 812-0228

Banks or Depositories

BB&T
Arlington, Virginia 22209

Signed: Dr Michael Simone
Date Signed: 04/01/2011
Official Committee URL: www.acatoday.com

FORM TEXT

(End FEC FORM 1)

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