FEC Form 1 for North Carolina Medical Society Federal Political Education and Action CommitteeForm 1 for North Carolina Medical Society Federal Political Education and Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-329189

1. North Carolina Medical Society Federal Political Education and Action Committee

PO Box 25834
222 N. Person Street
Raleigh, NC 27611
Fax: 9198332023
Email: jlewis@ncmedsoc.org

2. Date: 04/24/2006

3. FEC Committee ID #: C00003152 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

North Carolina Medical Society
PO Box 27167
Raleigh, North Carolina 27611
Relationship: connected organizati
Organization Type: Membership Organization

Custodian of Records:

Jean Lewis
MEDPAC
PO Box 25834
Raleigh, NC 27611
Title: Custodian of Records
Phone # (919) 833-3836

Treasurer:

Edwin Swann
MEDPAC
PO Box 25834
Raleigh, North Carolina 27611
Title: Treasurer
Phone # (919) 833-3836

Designated Agent(s):

, Asst Treasurer Stephen W. Keene
PO Box 25834
222 N. Person Street
Raleigh, North Carolina 27611

Banks or Depositories

Wachovia Bank
PO Box 563966
Raleigh, North Carolina 28262

Signed: , Asst Treasurer Stephen W. Keene
Date Signed: 04/01/2008
Official Committee FAX: 9198332023

(End FEC FORM 1)

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