FEC Form 1 for American College of Cardiology Political Action CommitteeForm 1 for American College of Cardiology Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-95832

1. American College of Cardiology Political Action Committee

9111 Old Georgetown Road
Bethesda, MD 208141699
Fax: 301-897-8757
Email: dbirdson@acc.org

2. Date: 09/17/2003

3. FEC Committee ID #: C00375360 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American College of Cardiology
9111 Old Georgetown Road
Bethesda, Maryland 208141699
Relationship: Connected Organization
Organization Type: Membership Organization

Custodian of Records:

Ms. Dana Langley Birdsong
9111 Old Georgetown Road
Bethesda, MD 208141699
Title: Assoc. Director PAC
Phone # (301) 493-2374

Treasurer:

Mr. Michael A. Votaw
9111 Old Georgetown Road
Bethesda, Maryland 208141699
Title: Senior Director FRM
Phone # (301) 581-3490

Designated Agent(s):

Dana Langley Birdsong
9111 Old Georgetown Road
Bethesda, Maryland 208141699
Title: Assistant Treasurer
Phone # (301) 493-2374

Banks or Depositories

Sun Trust Bank
1445 New York Avenue N.W.
Washington, DC 20005

Signed: Mr. Michael A. Votaw
Date Signed: 09/17/2003
Official Committee FAX: 301-897-8757

(End FEC FORM 1)

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