FEC Form 1 for PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE (PCMA PAC)Form 1 for PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE (PCMA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408660

1. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE (PCMA PAC)

601 PENNSYLVANIA AVENUE NW STE 740
WASHINGTON, DC 20004
Email: jheafitz@pcmanet.org

2. Date: 10/15/2008

3. FEC Committee ID #: C00388819 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Pharmaceutical Care Management Association
601 Pennsylvania Avenue
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brenda Palmer
1211 Tulane Drive
Alexandria, VA 22307
Title: CFO
Phone # (202) 207-3606

Treasurer:

Jonathan Heafitz
2608 Arvin Street
Silver spring, Maryland 20902
Title: Treasurer
Phone # (202) 207-3610

Designated Agent(s):

Brenda Palmer
1211 Tulane Drive
Alexandria, Virginia 22307

Jonathan Heafitz
2608 Arvin Street
Silver spring, Maryland 20902
Title: Treasurer
Phone # (202) 207-3610

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408660

1. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE (PCMA PAC)

2. Date: 10/15/2008

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Jonathan Heafitz
Date Signed: 03/20/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408660

1. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION POLITICAL ACTION COMMITTEE (PCMA PAC)

2. Date: 10/15/2008

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Jonathan Heafitz Date Signed: 03/20/2009

(End FEC FORM 1)

Signed: Jonathan Heafitz
Date Signed: 03/20/2009