FEC Form 1 for SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY AND INTERVENTIONS ASSOCIATION PACForm 1 for SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY AND INTERVENTIONS ASSOCIATION PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1079568

1. SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY AND INTERVENTIONS ASSOCIATION PAC

1100 17th Street, NW
Suite 330
WASHINGTON, DC 20036
Email: wpowell@scai.org;ttu@bellsouth.net

2. Date: 06/21/2016

3. FEC Committee ID #: C00519371 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Adele Chazin
1100 17th Street, NW
Suite 330
Washington, DC 20036
Title: Accounting Consultan
Phone # (800) 863-5202

Treasurer:

Dr. Thomas Tu
3003 Bleuhill Court
Prospect, Kentucky 40059
Title: SCAI PAC Treasurer
Phone # (502) 893-7710

Designated Agent(s):

Banks or Depositories

Suntrust Bank
1445 New York Ave.
Washington, DC 20037

Signed: Dr. Thomas Tu
Date Signed: 06/21/2016

(End FEC FORM 1)

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