FEC Form 1 for American Academy of Audiology, Inc. PACForm 1 for American Academy of Audiology, Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409914

1. American Academy of Audiology, Inc. PAC

11730 Plaza America Drive Suite 30
Reston, VA 20190
Email: ccarey@audiology.org

2. Date: 03/27/2009

3. FEC Committee ID #: C00342972 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Academy Of Audiology
11730 Plaza America Drive
Suite 300
Reston, Virginia 201904748
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cheryl Carey
19273 Creek Field Cir
Lansdowne, VA 201761618
Title: Custodian of Records

Treasurer:

Cheryl Carey
19273 Creek Field Cir
Lansdowne, Virginia 201761618
Title: Treasurer

Designated Agent(s):

Melissa Sinden
312 Massachusetts Ave NE
Washington, DC 200025702
Title: Designated Agent

Banks or Depositories

Commerce
11000 Atrium Way
Mt Laurel, New Jersey 080540000

Signed: Cheryl Carey
Date Signed: 03/27/2009
Official Committee URL: www.audiology.org

(End FEC FORM 1)

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