FEC Form 1 for American Association of Oral and Maxillofacial Surgeons Political Action CommitteeForm 1 for American Association of Oral and Maxillofacial Surgeons Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-298815

1. American Association of Oral and Maxillofacial Surgeons Political Action Committee

9700 West Bryn Mawr Ave.
Rosemont, IL 60018
Fax: 8476786279
Email: tmacino@aaoms.org

2. Date: 07/31/2007

3. FEC Committee ID #: C00005660 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

AAOMS
9700 W. Bryn Mawr
Rosemont, Illinois 60018
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Treasurer:

Michael Menis
5911 Northwest Hwy
Suite 104
Crystal Lake, Illinois 60014
Title: Treasurer
Phone # (847) 678-6200

Designated Agent(s):

Banks or Depositories

The Northern Trust Company
1501 Woodfield Road
Schaumburg, Illinois 60173

DWS Scudder Investments Servic
P.O. Box 219154
Kansas City, Missouri 641219154

Signed: Michael Menis
Date Signed: 07/31/2007
Official Committee FAX: 8476786279

(End FEC FORM 1)

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