FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-793544
1. American Dental Hygienists' Association Political Action Committee (HYPAC)
444 N. MichiganSuite 3400
Chicago, IL 606113980
Email: hypac@adha.net
2. Date: 07/06/2012
3. FEC Committee ID #: C00345868 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
Janette Delinger American Dental Hygienists' Association444 N Michigan Ave
Suite 3400
Chicago, Illinois 60611
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:
Janette Delinger209 Oakhills St
Lansing, Kansas 66043
Title: Treasurer
Phone # (312) 440-8900
Designated Agent(s):
Stacey Chappell444 N Michigan Ave
Suite 3400
Chicago, Illinois 60611
Title: Assistant Treasurer
Phone # (312) 440-8914
Banks or Depositories
US Bank444 N Michigan Ave Suite 3400
Chicago, Illinois 606113980