FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-894688
1. American Dental Association Independent Expenditures Committee
NOTE:Commmittee Name is different than previously reported
1111 14th Street, NWSuite 1100
Washington, DC 20005
Email: taylorc@ada.org
2. Date: 11/13/2013
3. FEC Committee ID #: C00488338This 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
Custodian of Records:
CYNTHIA TAYLOR
1111 14TH STREET, NW, SUITE 1100
WASHINGTON, DC 20005
Title: MANAGER, MEMBERSHIP
Phone # (202) 789-5172
Treasurer:
Dr. Douglas Hadnot
1111 14th Street, NW
Suite 1100
Washington, DC 20005
Title: dentist
Phone # (202) 789-5172
Designated Agent(s):
Banks or Depositories
CITIBANK
1101 PENNSYLVANIA AVENUE, NW
WASHINGTON, DC 20004
Signed: Dr. Douglas Hadnot
Date Signed: 11/13/2013
FORM TEXT(End FEC FORM 1)
Date Signed: 11/13/2013
FORM TEXT