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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-14810

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1. Osteopathic Political Action Committee

    1090 Vermont Ave. NW
    Suite 510
    Washington, DC 20005
    Email: jburton@aoa-net.org

2. Date: 06/06/2001

3. FEC Committee ID #: C00113803

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Dr. Robert George, DO
1900 Twenty-Third St.
Cuyahoga Falls, Ohio 44223
Title: Treasurer
Phone # (330) 971-7440

Designated Agent(s):

Banks or Depositories

Signed: Dr. Robert George, DO
Date Signed: 06/06/2001
Official Committee URL: www.osteopac.org

(End FEC FORM 1)

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