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-889457

1. American Society of Plastic Surgeons PLASTYPAC

20 F Street NW
#310A
Washington, DC 20001
Email: clamb@plasticsurgery.org

2. Date: 09/30/2013

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:

Carrie Lamb
20 F St. NW
Suite 310A
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 672-1519

Treasurer:

Dr. David Song, MD
5841 South Maryland Avenue
Chicago, Illinois 60637
Title: Treasurer

Designated Agent(s):

Mark Espinosa
444 E. Algonquin Rd.
Arlington Heights, Illinois 60005
Title: Assistant Treasurer
Phone # (847) 228-3341

Banks or Depositories

JP Morgan Chase
1201 South Milwaukee Ave
Libertyville, Illinois 60048

Signed: Dr. David Song, MD
Date Signed: 09/30/2013

(End FEC FORM 1)

Generated Fri Jul 26 01:55:34 2024