FEC Form 1 for American Dental Association Independent Expenditures CommitteeForm 1 for American Dental Association Independent Expenditures Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1547080

1. American Dental Association Independent Expenditures Committee

1111 14th Street, NW
Suite 1100
Washington, DC 200055627
Email: krejcis@ada.org;federalcompliance@nossaman.com

2. Date: 08/31/2010

3. FEC Committee ID #: C00488338

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Dental Association
1111 14th St NW
Ste 1100
Washington, DC 200055627
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Sarah Krejci
1111 14th St NW
Ste 1100
Washington, DC 200055627
Title: Custodian of Records
Phone # (202) 898-2403

Treasurer:

Dr. Julian H Fair, III
PO Box 800
Wagener, South Carolina 291640800
Title: Treasurer
Phone # (803) 564-3463

Designated Agent(s):

Ms. Sarah Krejci
1111 14th St NW
Ste 1100
Washington, DC 200055627
Title: Designated Agent
Phone # (202) 898-2403

Banks or Depositories

Citibank IE
1101 Pennsylvania Avenue, NW
Washington, DC 20005

Signed: Dr. Julian H Fair, III
Date Signed: 11/03/2021
Official Committee URL: www.ada.org

FORM TEXT-1

(End FEC FORM 1)

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