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-446529

1. CLINICAL LABORATORY MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE

401 North Michigan Avenue
Chicago, IL 60611

NOTE: Address is different than previously reported

Email: info@clma.org

NOTE: Email address is different than previously reported

2. Date: 01/22/2010

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

Affiliated Committees/Organizations

Clinical Laboratory Management Assoc, Inc
401 North Michigan Avenue
Chicago, Illinois 60611
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Kathy Bell
401 North Michigan Avenue
Chicago, IL 60611
Title: Interim Exec. Dir.
Phone # (312) 321-5111

Treasurer:

Martha Casassa
10 Norroway Avenue
Randolph, Massachusetts 023683013
Title: Treasurer
Phone # (781) 348-2068

Designated Agent(s):

Banks or Depositories

M & T Bank
38 West Avenue
Wayne, Pennsylvania 19087

Signed: Martha Casassa
Date Signed: 01/22/2010
Official Committee URL: http://www.clma.org

(End FEC FORM 1)

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