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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-984792

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1. AMERICAN ASSOCIATION FOR GERIATRIC PSYCHIATRY

    6728 Old McLean Village Drive
    McLean, VA 22101

    NOTE: Address is different than previously reported

    Email: cwood@aagponline.org;christopher@degnon.org

    NOTE: Email address is different than previously reported

2. Date: 12/29/2014

3. FEC Committee ID #: C00401695 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00401695
AMERICAN ASSOCIATION FOR GERIATRIC PSYCHIATRY
6728 Old McLean Village Drive
McLean, Virginia 22101
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Christopher N. Wood
6728 Old McLean Village Drive
McLean, VA 22101
Title: Executive Director
Phone # (703) 556-9222

Treasurer:

Christopher N. Wood
6728 Old McLean Village Drive
McLean, Virginia 22101
Title: Executive Director
Phone # (703) 556-9222

Designated Agent(s):

Christopher N. Wood
6728 Old McLean Village Drive
McLean, Virginia 22101
Title: Executive Director
Phone # (703) 556-9222

Banks or Depositories

Captial One Bank
4825 Cordell Avenue
Bethesda, Maryland 20814

Signed: Christopher N. Wood
Date Signed: 12/29/2014

(End FEC FORM 1)

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