FEC Form 1 for NEW MEXICO MEDICAL SOCIETY POLITICAL ACTION COMMITTEE (AKA NEMPAC)Form 1 for NEW MEXICO MEDICAL SOCIETY POLITICAL ACTION COMMITTEE (AKA NEMPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-438752

1. NEW MEXICO MEDICAL SOCIETY POLITICAL ACTION COMMITTEE (AKA NEMPAC)

7770 JEFFERSON NE #400
ALBUQUERQUE, NM 87109
Email: conner.marshall@gmail.com

NOTE: Email address is different than previously reported

2. Date: 11/04/2009

3. FEC Committee ID #: C00001776 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00001776
NEW MEXICO MEDICAL SOCIETY POLITICAL ACTION COMMITTEE (AKA NEMPAC)
7770 JEFFERSON NE #400
ALBUQUERQUE, New Mexico 87109
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Conner R Marshall
7770 Jefferson St. NE
Albuquerque, NM 87109
Title: Agent
Phone # (505) 828-0237

Treasurer:

Peter Beaudette
7770 Jefferson St. NE
Albuquerque, New Mexico 87109
Title: Treasurer
Phone # (505) 828-0237

Designated Agent(s):

Conner R Marshall
7770 Jefferson St. NE
Albuquerque, New Mexico 87109
Title: Agent
Phone # (505) 828-0237

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-438752

1. NEW MEXICO MEDICAL SOCIETY POLITICAL ACTION COMMITTEE (AKA NEMPAC)

NOTE: Email address is different than previously reported

2. Date: 11/04/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Conner R Marshall
Date Signed: 11/04/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-438752

1. NEW MEXICO MEDICAL SOCIETY POLITICAL ACTION COMMITTEE (AKA NEMPAC)

NOTE: Email address is different than previously reported

2. Date: 11/04/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Conner R Marshall Date Signed: 11/04/2009

(End FEC FORM 1)

Signed: Conner R Marshall
Date Signed: 11/04/2009