FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1354297
1. American Dental Association Independent Expenditures Committee
1111 14th Street, NWSuite 1100
Washington, DC 200055627
Email: taylorc@ada.org
2. Date: 08/31/2010
3. FEC Committee ID #: C00488338 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
American Dental Association1111 14th St NW
Ste 1100
Washington, DC 200055627
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mrs. Cynthia J. Taylor1111 14th St NW
Ste 1100
Washington, DC 200055627
Title: Custodian of Records
Phone # (202) 789-5172
Treasurer:
Dr. Brad W Barnes315 Susan Dr.
Suite 1
Normal, Illinois 617616206
Title: Treasurer
Phone # (309) 830-6336
Designated Agent(s):
Mrs. Cynthia J. Taylor1111 14th St NW
Ste 1100
Washington, DC 200055627
Title: Designated Agent
Phone # (202) 789-5172
Banks or Depositories
Citibank IE1101 Pennsylvania Avenue, NW
Washington, DC 20005