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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-290714

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1. AMERICAN MEDICAL RESPONSE INC POLITICAL ACTION COMMITTEE

    6200 S SYRACUSE WAY STE 200
    GREENWOOD VILLAGE, CO 80111

2. Date: 06/12/2007

3. FEC Committee ID #: C00389585 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Peggy Ann Shannon
6200 S. Syracuse Way Suite 200
Greenwood Village, CO 80111
Title: Treasury Accountant
Phone # (303) 495-1420

Treasurer:

, ____

Designated Agent(s):

Peggy Ann Shannon
6200 S. Syracuse Way Suite 200
Greenwood Village, Colorado 80111
Title: Assistant Treasurer
Phone # (303) 495-1420

Banks or Depositories

Signed: Mark Rector
Date Signed: 06/12/2007

(End FEC FORM 1)

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