FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-298499
1. AMERICAN ASSOCIATION OF CLINICAL UROLOGISTS POLITICAL ACTION COMMITTEE (UROPAC)
1100 E. Woodfield Road Suite 520SCHAUMBURG, IL 60173
Fax: 8475177229
Email: sam@wjweiser.com
2. Date: 07/30/2007
3. FEC Committee ID #: C00273003 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Committee ID# C00273003AMERICAN ASSOCIATION OF CLINICAL UROLOGISTS POLITICAL ACTION COMMITTEE (UROPAC)
1100 E. Woodfield Road Suite 520
SCHAUMBURG, Illinois 60173
Relationship: Connected
Organization Type: Corporation
Custodian of Records:
Treasurer:
Dr. Gary Kirsh M.D.9771 Carriage Run Court
Loveland, Ohio 45140
Designated Agent(s):
Wendy J. Weiser1031 N. Ela Road
Inverness, Illinois 60067