FEC Form 1 for AMERICAN ASSOCIATION OF CLINICAL UROLOGISTS POLITICAL ACTION COMMITTEE (UROPAC)Form 1 for AMERICAN ASSOCIATION OF CLINICAL UROLOGISTS POLITICAL ACTION COMMITTEE (UROPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-298499

1. AMERICAN ASSOCIATION OF CLINICAL UROLOGISTS POLITICAL ACTION COMMITTEE (UROPAC)

1100 E. Woodfield Road Suite 520
SCHAUMBURG, IL 60173
Fax: 8475177229
Email: sam@wjweiser.com

2. Date: 07/30/2007

3. FEC Committee ID #: C00273003 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00273003
AMERICAN 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. Weiser
1031 N. Ela Road
Inverness, Illinois 60067

Banks or Depositories

Signed: Wendy J. Weiser
Date Signed: 07/30/2007
Official Committee URL: www.uropac.org
Official Committee FAX: 8475177229

(End FEC FORM 1)

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