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-922109

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

725 Fiftheenth St., NW Suite 500
Washington, DC 20005
Email: pbk@aans.org;sjk@aans.org

NOTE: Email address is different than previously reported

2. Date: 04/18/2014

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

Affiliated Committees/Organizations

AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS
725 Fifteenth St. NW
Suite 500
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dr. Alex B. Valadka
1400 N. IH 35
Ste 300
Austin, TX 78701
Title: Treasurer

Treasurer:

Dr. Alex B. Valadka
1400 N. IH 35
Ste 300
Austin, Texas 78701
Title: Treasurer

Designated Agent(s):

Banks or Depositories

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

Signed: Dr. Alex B. Valadka
Date Signed: 04/22/2014
Official Committee URL: http://www.aans.org/Legislative%20Activities/NeurosurgeryPAC.aspx

(End FEC FORM 1)

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