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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-259024


1. American Academy of Dermatology Association Political Action Committee

    1350 I St NW
    Ste 870
    Washington, DC 200053319
    Fax: 2028424355
    Email: SMyers@aad.org

2. Date: 11/15/2006

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

Affiliated Committees/Organizations

American Academy of Dermatology Association
1350 I St NW
Ste 870
Washington, DC 200053319
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

Shana Myers
1350 I St NW
Ste 870
Washington, DC 200053319
Title: Man. Pol. Affairs
Phone # (202) 712-2615

Treasurer:

Steven Debnar
1624 Kenyon Drive
Naperville, Illinois 60565
Title: Treasurer
Phone # (847) 240-1128

Designated Agent(s):

Banks or Depositories

JPMorgan Chase
111 E Busse Ave
Mount Prospect, Illinois 60056

Signed: Steven Debnar
Date Signed: 11/15/2006
Official Committee URL: www.skinpac.org
Official Committee FAX: 2028424355

(End FEC FORM 1)


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