FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1605322
1. Delta Dental Plans Association PAC
1515 W 22nd Street Suite 450Oak Brook, IL 60523
Email: jdaughn@deltadental.com;fecinfo@pass1.com
2. Date: 06/24/2022
3. FEC Committee ID #: C00213819 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00213819Delta Dental Plans Association
1515 W 22nd Street Suite 450
Oak Brook, Illinois 60523
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Samantha Quinn1515 W 22nd Street Suite 450
Oak Brook, IL 60523
Title: Custodian of Records
Phone # (630) 574-6851
Treasurer:
Samantha Quinn1515 W 22nd Street Suite 450
Oak Brook, Illinois 60523
Title: Treasurer
Phone # (630) 574-6851
Designated Agent(s):
Grant Brenneman1515 W 22nd Street, Suite 450
Oak Hill, Illinois 60523
Title: Assistant Treasurer
Banks or Depositories
The Northern Trust Company50 S. LaSalle Street
Chicago, Illinois 60675