FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-773455
1. KINETIC CONCEPTS INC POLITICAL ACTION COMMITTEE (KCIPAC)
PO BOX 659508SAN ANTONIO, TX 782659508
Email: lulu.olson@kci1.com
2. Date: 04/05/2012
3. FEC Committee ID #: C00235176 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Kinetic Concepts, IncP.O. Box 659508
San Antonio, Texas 78265
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Ms Lulu P., OlsonP.O. Box 659508
San Antonio, TX 782659508
Title: Treasurer
Phone # (210) 255-6000
Treasurer:
Ms. Lulu P. OlsonP.O. Box 659508
San Antonio, Texas 782659508
Title: Treasurer
Phone # (210) 255-6000
Designated Agent(s):
Banks or Depositories
Wells Fargo Bank4351 Medical Drive
San Antonio, Texas 78229