FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-269606
1. American Association of Neurological Surgeons Political Action Committee (NeurosurgeryPAC)
NOTE:Commmittee Name is different than previously reported
725 Fiftheenth St. NW Suite 500Washington, DC 20005
Email: korrico@neurosurgery.org
2. Date: 01/17/2007
3. FEC Committee ID #: C00413955 This committee is a Separate Segregated FundAffiliated Committees/Organizations
American Association of Neurological Surgeons5550 Meadowbrook
Rolling Meadows, Illinois 60007
Relationship: Connected
Organization Type: Trade Association
Custodian of Records:
Dr. James R Bean1401 Harrodsburg Rd
Ste. 485
Lexington, KY 405043797
Title: Treasurer
Phone # (859) 260-2721
Treasurer:
Dr. James R Bean1401 Harrodsburg Rd
Ste. 485
Lexington, Kentucky 405043797
Title: Treasurer
Phone # (859) 260-2721
Designated Agent(s):
Ronald W. Engelbreit5550 Meadowbrook
Rolling Meadows, Illinois 60007
Title: Assistant Treasurer
Phone # (847) 378-0509
Banks or Depositories
Chase120 S. LaSalle St
Chicago, Illinois 60603