FEC Form 1 for American Medical Response Inc Political Action CommitteeForm 1 for American Medical Response Inc Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1134846

1. American Medical Response Inc Political Action Committee

6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, CO 80111
Email: john_ranieri@emcare.com

2. Date: 10/05/2016

3. FEC Committee ID #: C00389585 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00398271
EMCARE HOLDINGS INC POLITICAL ACTION COMMITTEE
6363 S FIDDLERS GREEN CIRCLE
14TH FLOOR
GREENWOOD VILLAGE, Colorado 80111
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Terri Olmsted
6363 S Fiddlers Green Circle
14th Floor
Greenwood Villiage, CO 80111
Title: Supervisor Bank Rec
Phone # (303) 495-1418

Treasurer:

Mr John Ranieri
1000 River Rd
Suite 100
Conshohocken, Pennsylvania 19428
Title: Government Relations
Phone # (610) 834-2828

Designated Agent(s):

John Ranieri
1000 River Road, Suite 100
Conshohocken, Pennsylvania 19428
Title: Dir Govt Relations
Phone # (610) 834-2828

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1134846

1. American Medical Response Inc Political Action Committee

2. Date: 10/05/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mr John Ranieri
Date Signed: 12/13/2016

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1134846

1. American Medical Response Inc Political Action Committee

2. Date: 10/05/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mr John Ranieri Date Signed: 12/13/2016

(End FEC FORM 1)

Signed: Mr John Ranieri
Date Signed: 12/13/2016