FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-842030
1. American Society of Plastic Surgeons PLASTYPAC
20 F Street NW#310A
Washington, DC 20001
Email: lshoaf@plasticsurgery.org
2. Date: 12/14/2012
3. FEC Committee ID #: C00249342 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
American Society of Plastic Surgeons444 E. Algonquin
Arlington Heights, Illinois 60005
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Lori Shoaf, J.D.20 F St. NW, Suite 310A
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 672-1518
Treasurer:
Dr. David Song, MD5841 South Maryland Avenue
Chicago, Illinois 60637
Title: Treasurer
Designated Agent(s):
Mr. William Seward444 E. Algonquin Rd.
Arlington Heights, Illinois 60005
Title: Assistant Treasurer
Dr. David Song, MD
5841 South Maryland Avenue
Chicago, Illinois 60637
Title: Treasurer
Banks or Depositories
JP Morgan Chase1201 South Milwaukee Ave
Libertyville, Illinois 60048