FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-408913
1. American Clinical Laboratory Association PAC (ACLA PAC)
1100 New York Avenue, NWSuite 725 West
Washington, DC 20005
Email: jdubois@clinical-labs.org
2. Date: 03/20/2009
3. FEC Committee ID #: C00410084 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
American Clincial Laboratory Association1100 New York Avenue, NW
Suite 725 West
Washington, DC 20005
Affiliated Relationship Code: Connected Organization
Custodian of Records:
James W. HoeberlingComerica Bank - PAC Services 2250
P.O. Box 75000
Detroit, MI 48275
Title: Record Keeper
Phone # (248) 371-5562
Treasurer:
Jason DuBois1100 New York Avenue
Suite 725 West
Washington, DC 20005
Title: Treasurer
Phone # (202) 637-9466
Designated Agent(s):
Alan Mertz1100 New York Avenue, NW
Suite 725 West
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 637-9466
Banks or Depositories
Comerica BankP.O. Box 75000
MC 2250
Detroit, Michigan 48275