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-480878

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

725 Fiftheenth St., NW Suite 500
Washington, DC 20005

2. Date: 07/15/2010

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

Dr. Robert E. Harbaugh
30 Hope Dr. EC110
Hershey, Pennsylvania 17033
Title: Treasurer
Phone # (717) 531-4383

Designated Agent(s):

Banks or Depositories

Signed: Dr. Robert E. Harbaugh
Date Signed: 07/15/2010

(End FEC FORM 1)

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