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-324142

1. California Medical Association Political Action Committee - Federal

1201 J Street, Suite 375
Sacramento, CA 95814

2. Date: 02/20/2008

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:

Elliot Lepler, MD
877 W. Fremont Avenue, Suite N
Sunnyvale, CA 94087
Title: Custodian of Records

Treasurer:

Thelma Korpman, MD
23316 Westwood Street
Grand Terrace, California 92313
Title: Treasurer
Phone # (909) 427-4939

Designated Agent(s):

Banks or Depositories

UBOC
700 L Street
Sacramento, California 95814

Depository information missing. Pleas

, ____

Signed: Thelma Korpman, MD
Date Signed: 02/20/2008

FORM TEXT

(End FEC FORM 1)

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