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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1488690

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1. American Portable Diagnostic Association APDA-PAC

    6400 Collamer Road
    East Syracuse, NY 13057
    Email: kandrews@kaxray.com;sreilley@kaxray.com

2. Date: 01/19/2021

3. FEC Committee ID #: C00347658 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Portable Diagnostic Association
800 Maine Ave, SW
7th Floor
Washington, DC 20024
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kenneth C Andrews
6400 Collamer Rd
East Syracuse, NY 13057
Title: PAC Chair
Phone # (315) 437-1622

Treasurer:

Kenneth C Andrews
6400 Collamer Rd
East Syracuse, New York 13057
Title: PAC Chair
Phone # (315) 437-1622

Designated Agent(s):

Kenneth C Andrews
6400 Collamer Rd
East Syracuse, New York 13057
Title: PAC Chairman
Phone # (315) 437-1622

Banks or Depositories

United Bank
2930 Wilson Blvd
Arlington, Virginia 22201

Signed: Kenneth C Andrews
Date Signed: 01/19/2021

(End FEC FORM 1)

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