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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-780712

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1. American Medical Response Inc Political Action Committee

    6200 S Syracuse Way, Suite 200
    Greenwood Village, CO 80111
    Email: john_ranieri@emcare.com

2. Date:

3. FEC Committee ID #: C00389585

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Mr John Ranieri
2263 Forest Glen Drive
Warrington, Pennsylvania 18976
Title: Government Relations
Phone # (610) 834-2828

Designated Agent(s):

Banks or Depositories

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

Signed: Mr John Ranieri
Date Signed: 04/24/2012

FORM TEXT

(End FEC FORM 1)

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