FEC Form 1 for California Medical Association Political Action Committee - FederalForm 1 for California Medical Association Political Action Committee - Federal

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266174

1. California Medical Association Political Action Committee - Federal

1201 J Street Suite 375
Sacramento, CA 95814

2. Date: 12/20/2006

3. FEC Committee ID #: C00003194 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

California Medical Association
1201 J Street Suite 375
Sacramento, California 95814
Relationship: Sponsor

Amercan Medical Association
1101 Vermont Avenue SW
Washington, DC 20005
Relationship: Affiliated Organization

Custodian of Records:

Thelma Korpman MD
23316 Westwood Street
Grand Terrace, CA 92313
Title: Custodian of Records
Phone # (909) 882-1231

Treasurer:

Thelma Korpman MD
23316 Westwood Street
Grand Terrace, California 92313
Title: Treasurer
Phone # (909) 882-1231

Designated Agent(s):

Dean Chalios
1201 J Street Suite 375
Sacramento, California 95814
Title: Assistant Treasurer
Phone # (916) 444-5532

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266174

1. California Medical Association Political Action Committee - Federal

2. Date: 12/20/2006

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Thelma Korpman MD
Date Signed: 12/20/2006

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266174

1. California Medical Association Political Action Committee - Federal

2. Date: 12/20/2006

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Thelma Korpman MD Date Signed: 12/20/2006

(End FEC FORM 1)

Signed: Thelma Korpman MD
Date Signed: 12/20/2006