FEC Form 1 for American Urological Association, Inc. Political Action Committee (AUAPAC)Form 1 for American Urological Association, Inc. Political Action Committee (AUAPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1576644

1. American Urological Association, Inc. Political Action Committee (AUAPAC)

1000 Corporate Blvd
Linthicum, MD 21090
Email: AUAPAC@auanet.org;bhartford@auanet.org

2. Date: 11/16/2018

3. FEC Committee ID #: C00691741 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Urological Association, Inc.
1000 Corporate Blvd
Linthicum, Maryland 21090
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Barbara Hartford
1000 Corporate Blvd
Linthicum, MD 21090
Title: CFO
Phone # (410) 689-4027

Treasurer:

Dr. E. Ann Gormley
Dartmouth-Hitchcock
1 Medical Center Drive
Lebanon, New Hampshire 03756
Title: Professor Surgery
Phone # (603) 252-5557

Designated Agent(s):

Barbara Hartford
1000 Corporate Blvd
Linthicum, Maryland 21090
Title: CFO
Phone # (410) 689-4027

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1576644

1. American Urological Association, Inc. Political Action Committee (AUAPAC)

2. Date: 11/16/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Dr. E. Ann Gormley
Date Signed: 03/28/2022

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1576644

1. American Urological Association, Inc. Political Action Committee (AUAPAC)

2. Date: 11/16/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Dr. E. Ann Gormley Date Signed: 03/28/2022

(End FEC FORM 1)

Signed: Dr. E. Ann Gormley
Date Signed: 03/28/2022