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-409325

1. American Orthotic & Prosthetic Association Political Action Committee

330 John Carlyle Street
Suite 200
Alexandria, VA 22314
Email: PACS@PASS1.COM

2. Date: 03/24/2009

3. FEC Committee ID #: C00118430 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Orthotic and Prosthetic Association
330 John Carlyle Street
Suite 200
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tom Fise
330 John Carlyle Street
Suite 200
Alexandria, VA 22314
Title: Custodian
Phone # (571) 431-0876

Treasurer:

Tom Fise
330 John Carlyle Street
Suite 200
Alexandria, Virginia 22314
Title: Treasurer
Phone # (571) 431-0876

Designated Agent(s):

Banks or Depositories

Suntrust
PO Box 85024
Richmond, Virginia 23285

Signed: Tom Fise
Date Signed: 03/24/2009
Official Committee URL: N/A

(End FEC FORM 1)

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