FEC Form 1 for CLINICAL LABORATORY MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for CLINICAL LABORATORY MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-432249

1. CLINICAL LABORATORY MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE

993 OLD EAGLE SCHOOL ROAD
SUITE 405
WAYNE, PA 190871704
Email: jwisniewski@clma.org

2. Date: 09/17/2009

3. FEC Committee ID #: C00381152 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00381152
CLINICAL LABORATORY MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE
993 OLD EAGLE SCHOOL ROAD
SUITE 405
WAYNE, Pennsylvania 190871704
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Joseph Wisniewski
1301 Sunny Hill Lane
Havertown, PA 19083

Treasurer:

Martha Casassa
10 Norroway Avenue
Randolph, Massachusetts 023683013

Designated Agent(s):

Banks or Depositories

M & T Bank
38 West Avenue
Wayne, Pennsylvania 19087

Signed: Martha Casassa
Date Signed: 09/16/2009
Official Committee URL: CLMA.org

(End FEC FORM 1)

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