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-734238

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

316 Osuna Rd. NE
Suite 501
ALBUQUERQUE, NM 87107

NOTE: Address is different than previously reported

Email: conner.marshall@gmail.com

2. Date: 07/12/2011

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)
316 Osuna Rd. NE
Suite 501
ALBUQUERQUE, New Mexico 87107
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Conner R Marshall
316 Osuna Road NE
Suite 501
Albuquerque, NM 87107
Title: Agent
Phone # (505) 980-9454

Treasurer:

Peter Beaudette
316 Osuna Rd. NE
Suite 501
Albuquerque, New Mexico 87107
Title: Treasurer
Phone # (505) 828-0237

Designated Agent(s):

Conner R Marshall
316 Osuna Road NE
Suite 501
Albuquerque, New Mexico 87107
Title: Agent
Phone # (505) 980-9454

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-734238

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

NOTE: Address is different than previously reported

2. Date: 07/12/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Conner R Marshall
Date Signed: 07/12/2011

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-734238

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

NOTE: Address is different than previously reported

2. Date: 07/12/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Conner R Marshall Date Signed: 07/12/2011

(End FEC FORM 1)

Signed: Conner R Marshall
Date Signed: 07/12/2011