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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-305357


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
    Email: eyepac@ascrs.org

2. Date: 10/03/2007

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

Affiliated Committees/Organizations

Committee ID# C00171504
eyePAC American Society of Cataract and Refractive Surgery
4000 Legato Road #700
Fairfax, Virginia 22033
Relationship: none
Organization Type: Corporation

Custodian of Records:

Nancey McCann
4000 Legato Road #700
Fairfax, VA 22033
Title: Director
Phone # (703) 788-2220

Treasurer:

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

Designated Agent(s):

Gerrie Benedi
4000 Legato Road # 700
Fairfax, Virginia 22033
Title: PAC Specialist
Phone # (703) 591-2220

Banks or Depositories

Suntrust Bank
1445 New York Ave NW
Washington, DC 20005

Morgan Stanley
8020 Towers Crescent Drive
Suite 300
Vienna, Virginia 22182


Morgran Stanley
, ____

Signed: Nancey McCann
Date Signed: 10/03/2007
Official Committee FAX: 703 547-8856

(End FEC FORM 1)


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