FEC Form 1 for American Society of Plastic Surgeons PLASTYPACForm 1 for American Society of Plastic Surgeons PLASTYPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-412528

1. American Society of Plastic Surgeons PLASTYPAC

1640 Wisconsin Ave NW
Washington, DC 20007
Email: lshoaf@plasticsurgery.org

NOTE: Email address is different than previously reported

2. Date: 04/14/2009

3. FEC Committee ID #: C00249342 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

American Society of Plastic Surgeons
444 E. Algonquin
Arlington Heights, Illinois 60005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lori Shoaf, J.D.
1640 Wisconsin Ave NW
Washington, DC 20007
Title: Custodian of Records
Phone # (202) 672-1518

Treasurer:

William Seward
1640 Wisconsin Ave NW
Washington, DC 20007
Title: Treasurer
Phone # (202) 672-1518

Designated Agent(s):

Lori Shoaf, J.D.
1640 Wisconsin Ave NW
Washington, DC 20007
Title: Assistant Treasurer
Phone # (202) 672-1518

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-412528

1. American Society of Plastic Surgeons PLASTYPAC

NOTE: Email address is different than previously reported

2. Date: 04/14/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mr. William Seward
Date Signed: 04/14/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-412528

1. American Society of Plastic Surgeons PLASTYPAC

NOTE: Email address is different than previously reported

2. Date: 04/14/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mr. William Seward Date Signed: 04/14/2009

(End FEC FORM 1)

Signed: Mr. William Seward
Date Signed: 04/14/2009