FEC FORM 1M
NOTIFICATION OF MULTICANDIDATE STATUS
FILING FEC-259626
1. Missouri Medical Political Action Committee
PO Box 1402Jefferson City, MO 65102
2. FEC Committee ID #: C00001420
3. This is NOT a state party committee
4. STATUS BY AFFILIATION:
The committee submitted its Statement of Organization (FEC FORM 1)on 11/22/2006 and simultaneously qualified as a multicandidate committee through its
affiliation with:
Committee Name: AMPAC
FEC Identification Number: _______________________
5. STATUS BY QUALIFICATION:
(a) Candidates: The committee has made contributions to the five federal candidates listed below:| Name | Office Sought | State/District | Date | |
|---|---|---|---|---|
| (i) | ____/ |
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| (ii) | ____/ |
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| (iii) | ____/ |
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| (iv) | ____/ |
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| (v) | ____/ |
(b) Contributors: The committee received a contribution from its 51st contributor on: __________________.
(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: __________________.
(d) Qualification: The committee met the above requirements on: