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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1788191

1. Delta Dental Plans Association PAC

222 W. Merchandise Mart Plaza
Suite #631
Chicago, IL 60654

NOTE: Address is different than previously reported

Email: jdaughn@deltadental.com;fecinfo@pass1.com

2. Date: 06/10/2024

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
222 W. Merchandise Mart Plaza
Suite #631
Chicago, Illinois 60654
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Samantha Quinn
222 W. Merchandise Mart Plaza
Suite #631
Chicago, IL 60654
Title: Custodian of Records
Phone # (630) 574-6851

Treasurer:

Samantha Quinn
222 W. Merchandise Mart Plaza
Suite #631
Chicago, Illinois 60654
Title: Treasurer
Phone # (630) 574-6851

Designated Agent(s):

Grant Brenneman
222 W. Merchandise Mart Plaza
Suite #631
Chicago, Illinois 60654
Title: Assistant Treasurer

Banks or Depositories

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

Bank of America
110 N. Wacker, 10th Floor
Chicago, Illinois 60606

Signed: Samantha Quinn
Date Signed: 06/10/2024
Official Committee URL: None

FORM TEXT-1

(End FEC FORM 1)

Generated Wed Oct 2 12:17:02 2024