FEC Form 1 for American Psychiatric Association Political Action CommitteeForm 1 for American Psychiatric Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-125605

1. American Psychiatric Association Political Action Committee

1000 Wilson Boulevard
Suite 1825
Arlington, VA 22209
Fax: 7039071083
Email: apapac@psych.org

2. Date: 07/12/2004

3. FEC Committee ID #: C00373696 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Psychiatric Association
1000 Wilson Boulevard
Suite 1825
Arlington, Virginia 22209
Relationship: Affiliated
Organization Type: Membership Organization

Custodian of Records:

Jason Pray
1000 Wilson Boulevard
Suite 1825
Arlington, VA 22209
Title: Ass. Dir.-Gov. Rel.
Phone # (703) 907-8581

Treasurer:

Vivian Pender
1000 Wilson Boulevard
Suite 1825
Arlington, Virginia 22209
Title: Treasurer
Phone # (703) 907-8581

Designated Agent(s):

Eugene Cassel
1000 Wilson Boulevard
Suite 1825
Arlington, Virginia 22209
Title: Assistant Treasurer
Phone # (703) 907-8581

Banks or Depositories

Bank of America
730 15th Street NW
Washington, DC 20005

Signed: Vivian Pender
Date Signed: 07/12/2004
Official Committee FAX: 7039071083

(End FEC FORM 1)

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