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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-80694

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1. California Medical Political Action Committee - Federal

    1201 J Street Suite 375
    Sacramento, CA 95814

2. Date: 04/01/2003

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
Organization Type: Corporation

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

Custodian of Records:

Ralph Ouijano
533 E. Micheltorena St. Ste 203
Santa Barbara, CA 93103
Title: CST

Treasurer:

Ralph Ouijano
533 E. Micheltorena St. Ste 203
Santa Barbara, California 93103
Title: Treasurer
Phone # (916) 444-5532

Designated Agent(s):

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

Banks or Depositories

Bank of America
One Market Plaza
San Francisco, California 94105

Signed: Ralph Ouijano
Date Signed: 04/01/2003

(End FEC FORM 1)

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