FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-473214
1. American Dental Hygienists' Association Political Action Committee (HYPAC)
444 N. MichiganSuite 3400
Chicago, IL 606113980
Email: hypac@adha.net
NOTE: Email address is different than previously reported
2. Date: 06/02/2010
3. FEC Committee ID #: C00345868 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
American Dental Hygienists' Association444 N Michigan Avenue Suite 3400
Chicago, Illinois 606113980
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Stacey Chappell444 N. Michigan Avenue
Suite 3400
Chicago, IL 60611
Title: Governmental Affairs
Phone # (312) 440-8914
Treasurer:
Denise B Bowers3710 Doe Court
Lima, Ohio 45807
Title: Treasurer
Phone # (419) 230-4199
Designated Agent(s):
Stacey Chappell444 N Michigan Ave Suite 3400
Chicago, Illinois 606113980
Title: Assistant Treasurer
Phone # (312) 440-8914
Banks or Depositories
US BankP O Box 1800
St. Paul, Minnesota 551010800