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-312253

1. American Society of Health System Pharmacist - PAC

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

2. Date: 01/09/2007

3. FEC Committee ID #: C00245530 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Society of Helath System Pharmacists
7272 Wisconsin Avenue
Suite 200
Bethesda, Maryland 20814
Relationship: connected
Organization Type: Trade Association

Custodian of Records:

Treasurer:

Paul W. Abramowitz
385 Knowling Drive
Coralville, Virginia 522413350
Title: Treasurer
Phone # (301) 657-3000

Designated Agent(s):

Brian Meyer
7272 Wisconsin Ave
Bethesda, Maryland 20814
Title: Asst. Treasurer
Phone # (301) 657-3000

Paul W. Abramowitz
385 Knowling Drive
Coralville, Virginia 522413350
Title: Treasurer
Phone # (301) 664-8692

Banks or Depositories

Wachovia Bank
740 15th Street N.W.
Washington, DC 20015

Signed: Paul W. Abramowitz
Date Signed: 12/04/2007

(End FEC FORM 1)

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