FEC Form 1 for AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1745072

1. AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE

25 Massachusetts Ave, NW
Suite 600
Washington, DC 200017400
Email: ampaconline@ama-assn.org;eva.petty@ama-assn.org

2. Date: 01/19/2024

3. FEC Committee ID #: C00000422 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

AMERICAN MEDICAL ASSOCIATION
330 N Wabash Ave
Ste 39300
Chicago, Illinois 606115885
Affiliated Relationship Code: Connected Organization

Committee ID# C00004911
ALABAMA MEDICAL PAC
PO BOX 22
Montgomery, Alabama 361010022
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00001461
ALASKA STATE MEDICAL ASSOCIATION POLIT
4107 LAUREL STREET
Anchorage, Alaska 995085334
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00002907
ARKANSAS MEDICAL SOCIETY PAC
PO BOX 55088
Little Rock, Arkansas 722155088
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00003194
CALIFORNIA MEDICAL ASSOCIATION PAC-FED
555 CAPITOL MALL
#400
Sacramento, California 958144503
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00001180
MICHIGAN DOCTORS PAC-MICHIGAN STATE ME
PO BOX 769
East Lansing, Michigan 488260769
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00527663
MONTPAC-MONTANA MEDICAL ASSOCIATION
2021 11TH AVENUE
Helena, Montana 596014882
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00039123
NEW JERSEY MEDICAL POLITICAL ACTION CO
2 PRINCESS ROAD
Lawrenceville, New Jersey 086482320
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00003152
NORTH CAROLINA MEDICAL SOCIETY FEDERAL
PO BOX 25834
222 N PERSON STREET
Raleigh, North Carolina 276115834
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00003061
NORTH DAKOTA MEDICAL ASSOCIATION POLIT
1622 E INTERSTATE AVE
Bismarck, North Dakota 585030512
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00005132
SOUTH DAKOTA STATE MEDICAL ASSOCIATION
2600 WEST 49TH STREET
#200
Sioux Falls, South Dakota 571056569
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00001214
TEXAS MEDICAL ASSOCIATION PAC
401 W 15TH STREET
Austin, Texas 787011624
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00003210
UTAH MEDICAL PAC
310 EAST 4500 SOUTH
#500
Salt Lake City, Utah 841074250
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00548438
WISCONSIN MEDICAL SOCIETY PAC
330 EAST LAKESIDE STREET
Madison, Wisconsin 537152074
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mr. John Robert Jordan
25 Massachusetts Ave NW
Ste 600
Washington, DC 200017400
Title: Custodian of Records
Phone # (202) 789-7457

Treasurer:

Mr. John Robert Jordan
25 Massachusetts Ave NW
Ste 600
Washington, DC 200017400
Title: Treasurer
Phone # (202) 789-7457

Designated Agent(s):

Mrs. Nicole Lonetto
25 Massachusetts Ave NW
Ste 600
Washington, DC 200017400
Title: Designated Agent
Phone # (202) 789-7453

Banks or Depositories

PNC Bank
PO Box 1912
Washington, DC 20074

PNC Advisors
800 17th Street, NW
Washington, DC 20006

Signed: Mr. John Robert Jordan
Date Signed: 01/23/2024
Official Committee URL: www.ampaconline.org

(End FEC FORM 1)

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