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FEC Form 1 for American Dental Hygienists' Association Political Action Committee (HYPAC)Form 1 for American Dental Hygienists' Association Political Action Committee (HYPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-793544


1. American Dental Hygienists' Association Political Action Committee (HYPAC)

    444 N. Michigan
    Suite 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 Organization

Affiliated Committees/Organizations

Janette Delinger American Dental Hygienists' Association
444 N Michigan Ave
Suite 3400
Chicago, Illinois 60611
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacey Chappell
444 N. Michigan Avenue
Suite 3400
Chicago, IL 60611
Title: Governmental Affairs
Phone # (312) 440-8914

Treasurer:

Janette Delinger
209 Oakhills St
Lansing, Kansas 66043
Title: Treasurer
Phone # (312) 440-8900

Designated Agent(s):

Stacey Chappell
444 N Michigan Ave
Suite 3400
Chicago, Illinois 60611
Title: Assistant Treasurer
Phone # (312) 440-8914

Banks or Depositories

US Bank
444 N Michigan Ave Suite 3400
Chicago, Illinois 606113980

Signed: Janette Delinger
Date Signed: 07/06/2012

FORM TEXT

(End FEC FORM 1)


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