FEC Form 1 for American Academy of Dermatology Association Political Action CommitteeForm 1 for American Academy of Dermatology Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-18852

1. American Academy of Dermatology Association Political Action Committee

1350 I Street NW
Suite 880
Washington, DC 20005

2. Date: 08/08/2001

3. FEC Committee ID #: C00359539 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Academy of Dermatology Association
930 N. Meacham Road
Schaumburg, Illinois 60173
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

Phone # 0

Treasurer:

Mr. David Anderson
930 N. Meacham Road
Schaumburg, Illinois 601734965
Phone # (847) 330-0230

Designated Agent(s):

Ms. Cheryl Nordstedt
930 N. Meacham Road
Schaumburg, Illinois 601734965
Phone # (847) 330-0230

Banks or Depositories

American Nat. Bank and Trust of Chicag
111 East Busse Avenue
Mount Prospect, Illinois 60056

Signed: Mr. David Anderson
Date Signed: 08/08/2001
Official Committee URL: http://www.aadassociation.org/skin_intro.html

(End FEC FORM 1)

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