FEC Form 1 for AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS POLITICAL ACTION COMMITTEE (NEUROSURGERYPAC)Form 1 for AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS POLITICAL ACTION COMMITTEE (NEUROSURGERYPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1624213

1. AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS POLITICAL ACTION COMMITTEE (NEUROSURGERYPAC)

25 Massachusetts Avenue, NW, Suite
Washington, DC 20001
Email: wjohn@aans.org;jneary@aans.org

NOTE: Email address is different than previously reported

2. Date: 04/22/2019

3. FEC Committee ID #: C00413955 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Committee ID# C00413955
AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS POLITICAL ACTION COMMITTEE (NEUROSURGERYPAC)
25 Massachusetts Avenue, NW, Suite
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dr. Sepideh Amin-Hanjani
912 S Wood Street
Chicago, IL 60612
Title: Treasurer
Phone # (216) 286-8942

Treasurer:

Dr. Sepideh Amin-Hanjani
912 S Wood Street
Chicago, Illinois 60612
Title: Treasurer
Phone # (216) 286-8942

Designated Agent(s):

William John
5550 Meadowbrook Drive
Rolling Meadows, Illinois 60008
Title: Accounting Manger
Phone # (847) 378-0503

Banks or Depositories

JP MORGAN CHASE
IL1-1228 10 South Dearborn Street
Chicago, Illinois 60603

Signed: Dr. Sepideh Amin-Hanjani
Date Signed: 08/16/2022
Official Committee URL: http://www.aans.org/Legislative%20Activities/NeurosurgeryPAC.aspx

(End FEC FORM 1)

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