FEC Form 1 for CORPORATION FOR THE ADVANCEMENT OF PSYCHIATRY POLITICAL ACTION COMMITTEE (CAPPAC)Form 1 for CORPORATION FOR THE ADVANCEMENT OF PSYCHIATRY POLITICAL ACTION COMMITTEE (CAPPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-169231

1. CORPORATION FOR THE ADVANCEMENT OF PSYCHIATRY POLITICAL ACTION COMMITTEE (CAPPAC)

1000 Wilson Blvd.
#1825
Arlington, VA 22209
Fax: 7039071083
Email: jpray23@comcast.net

2. Date: 04/04/2005

3. FEC Committee ID #: C00147736 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Jason Pray
1000 Wilson Blvd
#1825
Arlington, VA 22209
Title: Assistant Treasurer
Phone # (703) 907-8581

Treasurer:

Jason Pray
1000 Wilson Blvd
#1825
Arlington, Virginia 22209
Title: Assistant Treasurer
Phone # (703) 907-8581

Designated Agent(s):

Banks or Depositories

Signed: Gerald Flamm
Date Signed: 04/04/2005
Official Committee FAX: 7039071083

(End FEC FORM 1)

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