FEC Form 1 for Advanced Medical Technology Association Political Action CommitteeForm 1 for Advanced Medical Technology Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-727953

1. Advanced Medical Technology Association Political Action Committee

701 Pennsylvania Ave. NW
Suite 800
Washington, DC 20004
Email: ccanavan@advamed.org

NOTE: Email address is different than previously reported

2. Date: 05/12/2011

3. FEC Committee ID #: C00340356 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

Advanced Medical Technology Association
701 Pennsylvania Ave., NW
Suite 800
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Juan C Scott
701 Pennsylvania Ave., NW
Suite 800
Washington, DC 20004
Title: VP, Govt Affairs
Phone # (202) 783-8700

Designated Agent(s):

Banks or Depositories

Bank of America
PO Box 27025
Richmond, Virginia 23261

Signed: Juan C Scott
Date Signed: 05/12/2011

(End FEC FORM 1)

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