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FEC Form 1 for American Academy of Ophthalmology Inc Political Committee (OPHTHPAC)Form 1 for American Academy of Ophthalmology Inc Political Committee (OPHTHPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-181008


1. American Academy of Ophthalmology Inc Political Committee (OPHTHPAC)

    655 Beach Street
    San Francisco, CA 94109
    Fax: 4155618545
    Email: srausch@aao.org

2. Date: 07/18/2005

3. FEC Committee ID #: C00196246 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:


Treasurer:

Steve Rausch
c/o AAO 655 Beach Street
San Francisco, California 94109
Title: Treasurer
Phone # (415) 561-8500

Designated Agent(s):

Banks or Depositories

Union Bank
400 California Street
San Francisco, California 94104

Signed: Steve Rausch
Date Signed: 07/18/2005
Official Committee FAX: 4155618545

(End FEC FORM 1)


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