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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-200765

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1. Texas Medical Association Political Action Committee

    401 West 15th Street
    Austin, TX 78701
    Fax: 512-370-1633
    Email: paula.frey@texmed.org

2. Date: 02/01/2006

3. FEC Committee ID #: C00001214 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

AMPAC
1101 Vermont Ave NW
Washington, DC 20005
Relationship: National Affiliate
Organization Type: Membership Organization

Custodian of Records:

Mr. David Reynolds
401 W. 15th Street
Austin, TX 78701
Title: Director
Phone # (512) 370-1361

Treasurer:

Mr. David Reynolds
401 West 15th Street
Austin, Texas 78701
Title: Director TEXPAC
Phone # (512) 370-1362

Designated Agent(s):

Darren Whitehurst
401 W. 15th St.
Austin, Texas 78701
Title: Director
Phone # (512) 370-1300

Banks or Depositories

Frost Bank
PO Box 1600
San Antonio, Texas 78296

AIM Investments
P.O. Box 4739
Houston, Texas 772104739

Signed: Mr. David Reynolds
Date Signed: 02/01/2006
Official Committee URL: www.texpac.org
Official Committee FAX: 512-370-1633

FORM TEXT

(End FEC FORM 1)

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