FEC Form 1 for Psychology PAC of the American Psychological Association Practice OrganizationForm 1 for Psychology PAC of the American Psychological Association Practice Organization

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1145536

1. Psychology PAC of the American Psychological Association Practice Organization

NOTE:Commmittee Name is different than previously reported

PO Box 65353
Washington, DC 20035
Email: Outsourcing@Aristotle.com

2. Date: 01/27/2017

3. FEC Committee ID #: C00522094 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Psychological Association Practice Organization (APAPO)
750 1st St NE
Washington, DC 200024241
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David Mason
205 Pennsylvania Ave SE
Washington, DC 200031164
Title: Custodian of Records
Phone # (202) 543-8345

Treasurer:

David Mason
205 Pennsylvania Ave SE
Washington, DC 200031164
Title: Treasurer
Phone # (202) 543-8345

Designated Agent(s):

Banks or Depositories

BB&T
300 S Washington St
Alexandria, Virginia 22314

Signed: David Mason
Date Signed: 01/31/2017

FORM TEXT-1

(End FEC FORM 1)

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