FEC Form 1 for American Pharmacists Association Political Action CommitteeForm 1 for American Pharmacists Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-788669

1. American Pharmacists Association Political Action Committee

2215 Constitution Avenue, NW
Washington, DC 20037
Email: PAC@aphanet.org

2. Date: 06/05/2012

3. FEC Committee ID #: C00193854 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00193854
American Pharmacists Association
2215 Constitution Avenue, NW
Washington, DC 20037
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Steve C Firman
2215 Constitution Avenue, NW
Washington, DC 20037
Title: APhA-PAC Chair
Phone # (202) 429-7521

Designated Agent(s):

Mr. Joseph Janela
2215 Constitution Avenue, NW
Washington, DC 20037
Title: CFO
Phone # (202) 429-7545

Banks or Depositories

Wachovia Bank
NC8502, PO Box 563966
Charlotte, North Carolina 28256

Signed: Steve Firman
Date Signed: 06/05/2012
Official Committee URL: http://www.pharmacist.com

(End FEC FORM 1)

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