FEC Form 1 for Delta Dental Plans Association PACForm 1 for Delta Dental Plans Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1101660

1. Delta Dental Plans Association PAC

1515 W. 22ND STREET, SUITE 450
OAK BROOK, IL 60523
Email: colson@deltadental.com;fecinfo@pass1.com

NOTE: Email address is different than previously reported

2. Date: 09/29/2016

3. FEC Committee ID #: C00213819 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Delta Dental Plans Association
1515 W 22nd Street
Suite 450
Oak Brook, Illinois 60523
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chuck Stich
1515 W 22nd Street
Suite 450
Oak Brook, IL 60523
Title: Treasurer

Treasurer:

Chuck Stich
1515 W 22nd Street
Suite 450
Oak Brook, Illinois 60523
Title: Treasurer

Designated Agent(s):

Samantha Quinn
1515 W 22nd Street
Suite 450
Oak Brook, Illinois 60523
Title: Assistant Treasurer
Phone # (630) 574-6851

Banks or Depositories

The Northern Trust Company
50 S. LaSalle Street
Chicago, Illinois 60675

Delaware Place Bank
190 E. Delaware Place
Chicago, Illinois 60611

Signed: Chuck Stich
Date Signed: 09/29/2016

(End FEC FORM 1)

Generated Fri Jan 10 22:30:41 2025