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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-1159247


1. American Society of Health System Pharmacist - PAC

    4500 East-West Highway Suite 900
    Bethesda, MD 20814

    NOTE: Address is different than previously reported

    Email: gad@ashp.org

2. Date: 04/19/2017

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
4500 East-West Highway Suite 900
Bethesda, Maryland 20814
Affiliated Relationship Code: Connected Organization

Custodian of Records:


Treasurer:

Thomas J. Johnson
26383 McHardy Circle
Valley Springs, South Dakota 57068
Title: Treasurer
Phone # (301) 664-8692

Designated Agent(s):

Joseph M Hill
4500 East-West Highway Suite 900
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: Thomas J. Johnson
Date Signed: 04/20/2017

(End FEC FORM 1)


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