FEC Form 1 for eyePAC Political Action Committee for American Society of Cataract and Refractive SurgeryForm 1 for eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-243186

1. eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery

4000 Legato Road Suite 700
Fairfax, VA 22033
Fax: 703 547-8856

2. Date: 10/01/1983

3. FEC Committee ID #: C00171504 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Nancey McCann
4000 Legato Rd
Fairfax, Virginia 22033
Title: Director of Govenmen
Phone # (703) 591-2220

Designated Agent(s):

Banks or Depositories

Signed: Nancy McCann
Date Signed: 10/13/2006
Official Committee FAX: 703 547-8856

(End FEC FORM 1)

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