FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-864326
1. ACADEMY OF DOCTORS OF AUDIOLOGY POLITICAL ACTION COMMITTEE
3492 LANDSDOWNE DR #2LEXINGTON, KY 40517
Email: sczuhajewski@audiologist.org
2. Date: 04/08/2013
3. FEC Committee ID #: C00351015 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Academy of Doctors of Audiology3493 Lansdowne Dr
#2
Lexington, Kentucky 40517
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Stephanie Czuhajewski3493 Lansdowne Dr #2
Lexington, KY 40517
Title: Designated Agent
Phone # (866) 493-5544
Treasurer:
Kimberly M Cavitt3493 Lansdowne Dr #2
Lexington, Kentucky 40517
Title: Treasurer
Phone # (866) 493-5544
Designated Agent(s):
Stephanie Czuhajewski3493 Lansdowne Dr #2
Lexington, Kentucky 40517
Banks or Depositories
Chase BankPO Box 659754
San Antonio, Texas 782659754