FEC Form 1 for American College of Radiology Association Political Action CommitteeForm 1 for American College of Radiology Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-835481

1. American College of Radiology Association Political Action Committee

1891 Preston White Drive
Reston, VA 20191
Email: radpac@acr.org

2. Date: 11/28/2012

3. FEC Committee ID #: C00343459 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American College of Radiology Association Political Action Committee
1891 Preston White Drive
Reston, Virginia 20191
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Richard Taxin, M.D.
P.O. Box 981
Media, Pennsylvania 190630981
Title: Radiologist
Phone # (610) 447-2517

Designated Agent(s):

Banks or Depositories

Bank of America - Hard
P.O. Box 27025
Richmond, Virginia 282617025

Vanguard Money Market
P.O. Box 13750
Philadelphia, Pennsylvania 191019897

Signed: Richard Taxin, M.D.
Date Signed: 11/30/2012

(End FEC FORM 1)

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