FEC Form 1 for National Mobility Equipment Dealers Association Political Action Committee, Inc.Form 1 for National Mobility Equipment Dealers Association Political Action Committee, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-863645

1. National Mobility Equipment Dealers Association Political Action Committee, Inc.

3327 West Bearss Avenue
Tampa, FL 33618
Email: NMEDA-PAC@NMEDA.org

2. Date: 03/29/2013

3. FEC Committee ID #: C00542555 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

National Mobility Equipment Dealers Association
3327 West Bearss Avenue
Tampa, Florida 33618
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David Hubbard
3327 West Bearss Avenue
Tampa, FL 33618
Title: Treasurer
Phone # (813) 264-0427

Treasurer:

David Hubbard
3327 West Bearss Avenue
Tampa, Florida 33618
Title: Treasurer
Phone # (813) 264-0427

Designated Agent(s):

Banks or Depositories

Bank of America
14002 N. Dale Mabry Hwy
Tampa, Florida 33618

Signed: David Hubbard
Date Signed: 03/22/2013

(End FEC FORM 1)

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