FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1102263
1. eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery
4000 Legato Road, Suite 700Fairfax, VA 22033
Email: nmccann@ascrs.org;tobrien@ascrs.org
NOTE: Email address is different than previously reported
2. Date: 10/04/2016
3. FEC Committee ID #: C00171504 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
American Society of Cataract & Refractive Surgery4000 Legato Road
Suite 700
Fairfax, Virginia 220334055
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Nancey McCann4000 Legato Rd., Suite 700
Fairfax, VA 220334055
Title: Custodian of Records
Phone # (703) 591-2220
Treasurer:
Nancey McCann4000 Legato Rd., Suite 700
Fairfax, Virginia 220334055
Title: Treasurer
Phone # (703) 591-2220
Designated Agent(s):
Tami OBrien4000 Legato Rd.
Ste 700
Fairfax, Virginia 220334055
Title: Designated Agent
Phone # (703) 788-5798
Banks or Depositories
United Bank14426 Albemarle Point Place
Suite 100
Chantilly, Virginia 20151