FEC Form 1 for American Clinical Laboratory Association PAC (ACLA PAC)Form 1 for American Clinical Laboratory Association PAC (ACLA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473956

1. American Clinical Laboratory Association PAC (ACLA PAC)

1100 New York Avenue, NW
Suite 725 West
Washington, DC 20005
Email: cmacdonald@clinical-labs.org

NOTE: Email address is different than previously reported

2. Date: 06/08/2010

3. FEC Committee ID #: C00410084 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Clincial Laboratory Association
1100 New York Avenue, NW
Suite 725 West
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank
PAC Services 2250
P.O. Box 75000
Detroit, MI 48275
Title: Record Keeper
Phone # (248) 371-7045

Treasurer:

Charlene MacDonald
1100 New York Avenue
Suite 725 West
Washington, DC 20005
Title: Treasurer
Phone # (202) 637-9466

Designated Agent(s):

Jason DuBois
1100 New York Avenue, NW
Suite 725 West
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 637-9466

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473956

1. American Clinical Laboratory Association PAC (ACLA PAC)

NOTE: Email address is different than previously reported

2. Date: 06/08/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Charlene MacDonald
Date Signed: 06/08/2010

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473956

1. American Clinical Laboratory Association PAC (ACLA PAC)

NOTE: Email address is different than previously reported

2. Date: 06/08/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Charlene MacDonald Date Signed: 06/08/2010

(End FEC FORM 1)

Signed: Charlene MacDonald
Date Signed: 06/08/2010