FEC Form 1 for American Society of Health System Pharmacist - PACForm 1 for American Society of Health System Pharmacist - PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1030066

1. American Society of Health System Pharmacist - PAC

7272 Wisconsin Avenue
Bethesda, MD 20814
Email: gad@ashp.org

2. Date: 10/19/2015

3. FEC Committee ID #: C00245530 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Society of Helath System Pharmacists
7272 Wisconsin Avenue
Suite 200
Bethesda, Maryland 20814
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Philip J. Schneider
15116 W. 86th Street
Lenexa, Kansas 66219
Title: Treasurer
Phone # (301) 664-8692

Designated Agent(s):

Joseph M Hill
7272 Wisconsin Ave Ste 200
Bethesda, Maryland 20814
Title: Assistant Treasurer
Phone # (301) 664-8710

Banks or Depositories

Wells Fargo Bank, N.A.
420 Montgomery Street
San Francisco, California 94104

Signed: Mr. Philip J. Schneider
Date Signed: 10/19/2015

(End FEC FORM 1)

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