FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-265360
1. Alaska State Medical Association Political Action Committee (ALPAC)
NOTE:Commmittee Name is different than previously reported
4107 Laurel StreetAnchorage, AK 99508
Fax: 9075612063
Email: asma@alaska.net
2. Date: 12/11/2006
3. FEC Committee ID #: C00001461 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Alaska State Medical Association4107 Laurel St
Anchorage, Alaska 99508
Relationship: Connected
Organization Type: Membership Organization
Custodian of Records:
Mr. James J Jordan4907 Wesleyan Drive
Anchorage, AK 99508
Title: Exec Director
Phone # (907) 562-0304
Treasurer:
Dr. Dwight Ellerbe4107 Laurel
Anchorage, Alaska 99508
Title: Treasurer
Phone # (907) 563-0304
Designated Agent(s):
Banks or Depositories
Wells Fargo BankP. O. Box 196124 MAC K33212-011
Anchorage, Alaska 995196127