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-1331238

1. Global Medical Response Inc. Political Action Committee

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

2. Date: 05/17/2019

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
14th Floor
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:

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

Designated Agent(s):

Banks or Depositories

Bank of America
P.O. Box 15284
Wilmington, Delaware 19850

Signed: Timothy J. Dorn
Date Signed: 05/17/2019

FORM TEXT-1

(End FEC FORM 1)

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