FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1636530
1. AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS PAC
15000 CENTRAL AVENUE SEALBUQUERQUE, NM 87123
Email: governmentrelations@asrt.org;mpergola@asrt.org
2. Date: 09/22/2022
3. FEC Committee ID #: C00362327 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
Committee ID# C00362327AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS PAC
15000 CENTRAL AVENUE SE
ALBUQUERQUE, New Mexico 87123
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Melissa Pergola15000 Central Ave. SE
Albuquerque, NM 87123
Title: Deputy CEO
Phone # (505) 298-4500
Treasurer:
Melissa Pergola15000 Central Ave. SE
Albuquerque, New Mexico 87123
Title: Deputy CEO
Phone # (505) 298-4500
Designated Agent(s):
David Goch1747 Pennsylvania Ave. NW
Washington, DC 20006
Title: Counsel
Phone # (202) 785-9500
Banks or Depositories
BOK/Bank of Albuquerque6600 4th St. NW
Albuquerque, New Mexico 87107