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FEC Form 1 for Indiana State Medical Association Political Action CommiteeForm 1 for Indiana State Medical Association Political Action Commitee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-364156


1. Indiana State Medical Association Political Action Commitee

    322 Canal Walk, Canal Level
    Indianapolis, IN 46202
    Fax: 3172612221
    Email: sgrant@ismanet.org

2. Date: 09/25/2008

3. FEC Committee ID #: C00000638 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:


Treasurer:

Vidya Kora, M.D.
322 Canal Walk, Canal Level
Indianapolis, Indiana 46202
Title: Treasurer
Phone # (317) 261-2060

Designated Agent(s):

Banks or Depositories

Signed: Vidya Kora, M.D.
Date Signed: 09/25/2008
Official Committee FAX: 3172612221

(End FEC FORM 1)


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