FEC Form 1 for AMERICAN SOCIETY FOR THERAPEUTIC RADIOLOGY AND ONCOLOGY INC PAC AKA ASTRO PACForm 1 for AMERICAN SOCIETY FOR THERAPEUTIC RADIOLOGY AND ONCOLOGY INC PAC AKA ASTRO PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-186347

1. AMERICAN SOCIETY FOR THERAPEUTIC RADIOLOGY AND ONCOLOGY INC PAC AKA ASTRO PAC

12500 FAIR LAKES CIRCLE SUITE 375
FAIRFAX, VA 22033

2. Date: 09/16/2005

3. FEC Committee ID #: C00384602 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Ms. Laura Thevenot
6808 Whittier Boulevard
Bethesda, Maryland 20817
Title: Treasurer
Phone # (703) 227-0199

Designated Agent(s):

Ms Lisa Shuger Hublitz
12500 Fair Lakes Circle
Suite 375
Fairfax, Virginia 22033
Title: Assistant Treasurer
Phone # (703) 227-0145

Banks or Depositories

Signed: Ms. Laura Thevenot
Date Signed: 09/16/2005

(End FEC FORM 1)

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