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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-103018

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1. American Speech-Language-Hearing Association PAC

    10801 Rockville Pike
    Rockville, MD 20852

2. Date: 01/09/2004

3. FEC Committee ID #: C00210666 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Speech-Language-Hearing Association.
, ____
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Paula Starr
10801 Rockville Pike
Rockville, MD 20852
Title: Director of Finance
Phone # (301) 897-5700

Treasurer:

Arlene Pietranton
10801 Rockville Pike
Rockville, Maryland 20852
Title: Treasurer
Phone # (301) 897-5700

Designated Agent(s):

Banks or Depositories

SunTrust Bank
P.O. Box 85024
Richmond, Virginia 232855024

Signed: Arlene Pietranton
Date Signed: 01/09/2004

(End FEC FORM 1)

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