FEC Form 1 for AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-295741

1. AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION POLITICAL ACTION COMMITTEE

330 JOHN CARLYLE STREET
SUITE 200
ALEXANDRIA, VA 22314
Fax: 5714310899
Email: dgurley@AOPAnet.org

2. Date: 07/17/2007

3. FEC Committee ID #: C00118430 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Orthotic & Prosthetic Association
330 John Carlyle Street
Suite 200
Alexandria, Virginia 22314
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

Kimber Nation
330 John Carlyle Street
Suite 200
Alexandria, VA 22314
Title: Dep. Executive Dir.
Phone # (571) 431-0806

Treasurer:

Kimber Nation
330 John Carlyle Street
Suite 200
Alexandria, Virginia 22314
Title: Dep. Executive Dir.
Phone # (571) 431-0812

Designated Agent(s):

Banks or Depositories

Suntrust Bank
P.O. Box 85024
Richmond, Virginia 23285

Signed: Kimber Nation
Date Signed: 07/17/2007
Official Committee FAX: 5714310899

(End FEC FORM 1)

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