FEC Form 1 for U.S. Anesthesia Partners, Inc. PAC d/b/a/ USAP PACForm 1 for U.S. Anesthesia Partners, Inc. PAC d/b/a/ USAP PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1328862

1. U.S. Anesthesia Partners, Inc. PAC d/b/a/ USAP PAC

12222 Merit Drive
Suite 700
Dallas, TX 75251
Email: info@campaignfinancial.com;brian.mccullough@usap.com

2. Date: 04/26/2019

3. FEC Committee ID #: C00574103 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

U.S. Anesthesia Partners, Inc.
12222 Merit Drive
Suite 700
Dallas, Texas 75251
Affiliated Relationship Code: Connected Organization

Committee ID# C00416305
First Colonies Anesthesia Associates L
7490 New Technology Way
Frederick, Maryland 21703
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Brian McCullough
1413 Hanson Drive
Franklin, TN 37067
Title: Treasurer
Phone # (972) 852-6933

Treasurer:

Brian McCullough
1413 Hanson Drive
Franklin, Tennessee 37067
Title: Treasurer
Phone # (972) 852-6933

Designated Agent(s):

Banks or Depositories

Bank of Texas
PO Box 29775
Dallas, Texas 75229

Signed: Brian McCullough
Date Signed: 04/26/2019

(End FEC FORM 1)

Generated Sat Jun 29 14:45:02 2024