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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-875129

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1. DOCTOR VOICE 4 FOR PATIENT CHOICE POLITICAL ACTION COMMITTEE

    4040 MACARTHUR BLVD #210
    NEWPORT BEACH, CA 92660
    Email: mward@wardlawless.com;ajkameen@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 06/18/2013

3. FEC Committee ID #: C00527796

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mark Ward
Ward & Lawless LLC
382 Chester Drive
Cocoa, FL 32926
Title: Consultant
Phone # (888) 658-8484

Treasurer:

Dr. Anthony J. Kameen
1104 Kenilworth Drive, Suite 200
Towson, Maryland 21204
Title: Treasurer
Phone # (410) 339-7200

Designated Agent(s):

Mark Ward
Ward & Lawless LLC
382 Chester Drive
Cocoa, Florida 32926
Title: Asst. Treasurer
Phone # (888) 658-8484

Banks or Depositories

Bank of America
3224 Solomons Island Road
Edgewater, Maryland 21037

Signed: Dr. Anthony J. Kameen
Date Signed: 06/25/2013

(End FEC FORM 1)

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