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FEC Form 1 for Air Methods Corporation Political Action Committee (AMPAC)Form 1 for Air Methods Corporation Political Action Committee (AMPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1056968

1. Air Methods Corporation Political Action Committee (AMPAC)

    P.O. Box 4682
    Englewood, CO 80155
    Email: ruthie.hubka@airmethods.com;David.Doerr@airmethods.com

    NOTE: Email address is different than previously reported

2. Date: 03/20/2016

3. FEC Committee ID #: C00529909 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Air Methods Corporation
7211 S. Peoria Street
Englewood, Colorado 80112
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Crystal Gordon
P.O. Box 4682
Englewood, CO 80155
Title: Custodian of Records
Phone # (303) 256-4182

Treasurer:

Mr. David Doerr
P.O. Box 4682
Englewood, Colorado 80155
Title: Treasurer
Phone # (303) 792-7468

Designated Agent(s):

Ms Ruthie Hubka
P.O. Box 4682
Englewood, Colorado 80155
Title: Designated Agent
Phone # (303) 792-7464

Banks or Depositories

KeyBank
1675 Broadway
Suite 400
Denver, Colorado 80202

Signed: Mr. David Doerr
Date Signed: 03/20/2016

(End FEC FORM 1)


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