FEC Form 1 for RENAL PHYSICIANS ASSOCIATION PAC RPA PACForm 1 for RENAL PHYSICIANS ASSOCIATION PAC RPA PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1102886

1. RENAL PHYSICIANS ASSOCIATION PAC RPA PAC

1700 ROCKVILLE PIKE SUITE 220
ROCKVILLE, MD 20852
Email: dsinger@renalmd.org

2. Date: 02/29/2016

3. FEC Committee ID #: C00409391 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00409391
RENAL PHYSICIANS ASSOCIATION PAC RPA PAC
1700 ROCKVILLE PIKE SUITE 220
ROCKVILLE, Maryland 20852
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mary Orgler
1700 Rockville Pike
Suite 220
Rockville, MD 20852
Title: PAC Treasurer
Phone # (301) 468-3515

Treasurer:

Mary Orgler
1700 Rockville Pike
Suite 220
Rockville, Maryland 20852
Title: PAC Treasurer
Phone # (301) 468-3515

Designated Agent(s):

Dale Singer
1700 Rockville Pike
suite 220
Rockville, Maryland 20852
Title: Executive Director
Phone # (301) 468-3515

Banks or Depositories

SunTrust Bank
121 Congressional Lane
CMD 6011
Rockville, Maryland 20852

Signed: Mary Orgler
Date Signed: 10/06/2016
Official Committee URL: www.renalmd.org

(End FEC FORM 1)

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