FEC Form 1 for SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEEForm 1 for SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-166579

1. SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE

1025 CONNECTICUT AVENUE N.W.
SUITE 1104
WASHINGTON, DC 20036
Fax: 2024811029
Email: dboyd@sts.org

2. Date: 03/04/2005

3. FEC Committee ID #: C00325936 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

The Society of Thoracic Surgeons
633 N. Saint Clair Street
Suite 2320
Chicago, Illinois 606113658
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

J. Michael Hogan, Jr.
1025 Connecticut Avenue N.W.
Suite 1104
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 481-1027

Treasurer:

Dr. Keith S. Naunheim
3635 Vista Avenue at Grand
St. Louis, Missouri 63110
Title: Treasurer
Phone # (314) 577-8360

Designated Agent(s):

J. Michael Hogan, Jr.
1025 Connecticut Avenue N.W.
Suite 1104
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 481-1027

Banks or Depositories

SunTrust
P.O. Box 622227
Orlando, Florida 328622227

Signed: Dr. Keith S. Naunheim
Date Signed: 03/04/2005
Official Committee URL: www.sts.org
Official Committee FAX: 2024811029

(End FEC FORM 1)

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