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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-837383


1. American Academy of Audiology, Inc. PAC

    11480 Commerce Park Drive
    Suite 220
    Reston, VA 201911518

    NOTE: Address is different than previously reported

    Email: ccarey@audiology.org

2. Date: 11/29/2012

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
11480 Commerce Park Drive
Suite 220
Reston, Virginia 201911518
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cheryl Carey
19273 Creek Field Circle
Leesburg, VA 201761618
Title: Custodian of Records
Phone # (703) 790-8466

Treasurer:

Cheryl Carey
19273 Creek Field Circle
Leesburg, Virginia 201761618
Title: Treasurer
Phone # (703) 790-8466

Designated Agent(s):

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

Banks or Depositories

TD Bank
750 North Hampton Avenue
Reston, Virginia 20194

Signed: Cheryl Carey
Date Signed: 12/05/2012
Official Committee URL: www.audiology.org

(End FEC FORM 1)


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