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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1632120

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1. AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS PAC

    15000 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87123
    Email: governmentrelations@asrt.org;mpergola@asrt.org

    NOTE: Email address is different than previously reported

2. Date: 09/22/2022

3. FEC Committee ID #: C00362327 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Melissa Pergola
15000 Central Ave. SE
Albuquerque, NM 87123
Title: Deputy CEO
Phone # (505) 298-4500

Treasurer:

Melissa Pergola
15000 Central Ave. SE
Albuquerque, New Mexico 87123
Title: Deputy CEO
Phone # (505) 298-4500

Designated Agent(s):

David Goch
1747 Pennsylvania Ave. NW
Washington, DC 20006
Title: Counsel
Phone # (202) 785-9500

Banks or Depositories

BOK/Bank of Albuquerque
6600 4th St. NW
Albuquerque, New Mexico 87107

Signed: Melissa Pergola
Date Signed: 09/22/2022
Official Committee URL: www.asrt.org

(End FEC FORM 1)

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