FEC Form 1 for American Society of Anesthesiologists Political Action CommitteeForm 1 for American Society of Anesthesiologists Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-779162

1. American Society of Anesthesiologists Political Action Committee

520 N. Northwest Highway
Park Ridge, IL 60068
Email: m.mathy@asawash.org

NOTE: Email address is different than previously reported

2. Date: 04/18/2012

3. FEC Committee ID #: C00255752 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 Anesthesiologists Political Action Committee
520 N. Northwest Highway
Park Ridge, Illinois 60068
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Treasurer:

Mr. Thomas Conway
520 N. Northwest Highway
Park Ridge, Illinois 60068
Title: Treasurer
Phone # (847) 825-5586

Designated Agent(s):

Mr. Thomas Conway
520 N. Northwest Highway
Park Ridge, Illinois 60068

Banks or Depositories

JP Morgan Chase Bank
PO Box 659754
San Antonio, Texas 78265

Signed: Mr. Thomas Conway
Date Signed: 04/18/2012

(End FEC FORM 1)

Generated Mon Jul 22 09:06:58 2024