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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-26969

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1. AMERICAN NEUROLOGICAL SURGERY POLITICAL ACTION COMMITTEE

    PO BOX 136
    WASHINGTON, DC 20044

2. Date: 02/11/2002

3. FEC Committee ID #: C00327171

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

MD Thomas W. Rigsby
PO Box 136
Washington, DC 20044
Title: Treasurer
Phone # (202) 628-1996

Designated Agent(s):

Banks or Depositories

Signed: MD Thomas W. Rigsby
Date Signed: 02/02/2002
Official Committee URL: www.ANSPAC.net

(End FEC FORM 1)

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