FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-69128
1. Michigan Doctors Political Action Committee - Michigan State Medical Society
P.O. Box 769East Lansing, MI 48826
2. Date: 12/16/2002
3. FEC Committee ID #: C00001180 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Custodian of Records:
Kelly Kevin A.825 Audubon
East Lansing, MI 48823
Title: Executive Director
Phone # (517) 336-5788
Treasurer:
Dr. James Grant, MD1574 Sodon Lake Drive
Bloomfield Hills, Michigan 48302
Title: Treasurer
Phone # (517) 336-5788