FEC Form 1 for Michigan Doctors Political Action Committee - Michigan State Medical SocietyForm 1 for Michigan Doctors Political Action Committee - Michigan State Medical Society

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1181073

1. Michigan Doctors Political Action Committee - Michigan State Medical Society

P.O. Box 769
East Lansing, MI 48826

NOTE: Address is different than previously reported

Email: kordenbrock@comcast.net

2. Date: 08/09/2017

3. FEC Committee ID #: C00001180 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Michigan State Medical Society
P.O. Box 950
East Lansing, Michigan 488260950
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jean Kordenbrock
4647 Meridian Rd.
Williamston, MI 48895
Title: Book Keeper
Phone # (517) 230-2554

Treasurer:

Amit Ghose, MD
3955 Patient Care Drive
Suite A
Lansing, Michigan 48911
Title: Treasurer
Phone # (517) 374-7600

Designated Agent(s):

Banks or Depositories

Independent Bank
2119 Hamilton Rd.
Okemos, Michigan 48864

Signed: AMIT GHOSE
Date Signed: 09/05/2017

(End FEC FORM 1)

Generated Thu Jul 25 23:21:19 2024