FEC Form 1 for Global Medical Response, Inc. Political Action CommitteeForm 1 for Global Medical Response, Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1320197

1. Global Medical Response, Inc. Political Action Committee

NOTE:Commmittee Name is different than previously reported

6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, CO 801115011
Email: tim.dorn@amr.net

2. Date: 03/20/2018

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

Affiliated Committees/Organizations

Global Medical Response, Inc.
6363 S Fiddlers Green Circle
Greenwood Village, Colorado 801115011
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Terri Olmsted
6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, CO 801115011
Title: Supervisor Bank Rec
Phone # (303) 495-1418

Treasurer:

Mr Timothy J. Dorn
6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Title: Chief Financial Offi
Phone # (303) 495-1517

Designated Agent(s):

Timothy J. Dorn
6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Title: Chief Financial Offi
Phone # (303) 495-1517

Timothy J Dorn
6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Title: Chief Financial Offi
Phone # (303) 495-1517

Brian Tierney
6363 S. Fiddler's Green Circle
Greenwood Village, Colorado 80111
Title: Assistant Treasurer
Phone # (972) 829-8407

Banks or Depositories

Wells Fargo Bank
600 Cuthbert Blvd
Haddon Township, New York 08108

Wells Fargo Bank
600 Cuthbert Blvd.
Haddon Township, New York 08108

Signed: Mr Timothy J. Dorn
Date Signed: 03/19/2019

FORM TEXT-1

(End FEC FORM 1)

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