FEC Form 1 for Texas Medical Association Political Action CommitteeForm 1 for Texas Medical Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-887781

1. Texas Medical Association Political Action Committee

401 West 15th Street
Austin, TX 78701
Email: paula.slater@texmed.org

2. Date: 09/13/2013

3. FEC Committee ID #: C00001214 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

AMPAC
1101 Vermont Ave NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Texas Medical Association
401 W. 15th Street
Austin, Texas 78701
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Clayton Stewart
401 W. 15th Street
Austin, TX 78701
Title: Director
Phone # (512) 370-1361

Treasurer:

Mr. Clayton Stewart
401 West 15th Street
Austin, Texas 78701
Title: Director, TEXPAC
Phone # (512) 370-1361

Designated Agent(s):

Darren Whitehurst
401 W. 15th St.
Austin, Texas 78701
Title: Vice-President
Phone # (512) 370-1300

Banks or Depositories

Frost Bank
PO Box 1600
San Antonio, Texas 78296

AIM Investments
P.O. Box 4739
Houston, Texas 772104739

Signed: Mr. Clayton Stewart
Date Signed: 09/13/2013
Official Committee URL: www.texpac.org

FORM TEXT

(End FEC FORM 1)

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