FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1081160
1. AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS POLITICAL ACTION COMMITTEE (NEUROSURGERYPAC)
725 Fiftheenth St., NW Suite 500Washington, DC 20005
Email: pbk@aans.org;sjk@aans.org
2. Date: 07/06/2016
3. FEC Committee ID #: C00413955 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Committee ID# C00413955AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS POLITICAL ACTION COMMITTEE (NEUROSURGERYPAC)
725 Fiftheenth St., NW Suite 500
Washington, DC 20005
Affiliated Relationship Code: Connected Organization
Custodian of Records:
John A. WilsonMedical Center Dr./Neurosurgery
Wake Forest University
Winston Salem, NC 27157
Title: Treasurer
Treasurer:
John A. WilsonMedical Center Dr./Neurosurgery
Wake Forest University
Winston Salem, North Carolina 27157
Title: Treasurer
Phone # (847) 378-0501
Designated Agent(s):
Banks or Depositories
JP MORGAN CHASEIL1-1228 10 South Dearborn Street
Chicago, Illinois 60603