FEC Form 1 for American Osteopathic Information Association - Osteopathic Political Action CommitteeForm 1 for American Osteopathic Information Association - Osteopathic Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1229902

1. American Osteopathic Information Association - Osteopathic Political Action Committee

1090 Vermont Ave., NW
Suite 500
Washington, DC 20005
Email: opac@osteotech.org

2. Date: 05/04/2018

3. FEC Committee ID #: C00113803 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American Osteopathic Information Association
142 East Ontario Street
Chicago, Illinois 606114864
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Richard Thacker, D.O.
1090 Vermont Ave., NW
Suite 500
Washington, DC 20005
Title: Treasurer
Phone # (202) 349-8750

Treasurer:

Richard Thacker, D.O.
1090 Vermont Ave., NW
Suite 500
Washington, DC 20005
Title: Treasurer
Phone # (202) 349-8750

Designated Agent(s):

Sean Neal
1090 Vermont Ave., NW
Suite 500
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 414-0152

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1229902

1. American Osteopathic Information Association - Osteopathic Political Action Committee

2. Date: 05/04/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Richard Thacker, D.O.
Date Signed: 05/04/2018

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1229902

1. American Osteopathic Information Association - Osteopathic Political Action Committee

2. Date: 05/04/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Richard Thacker, D.O. Date Signed: 05/04/2018

(End FEC FORM 1)

Signed: Richard Thacker, D.O.
Date Signed: 05/04/2018