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-846486

1. California Medical Association Political Action Committee - Federal

1201 J Street, Suite 375
Sacramento, CA 95814
Email: sandyb@eichmancpa.com

2. Date: 01/08/2013

3. FEC Committee ID #: C00003194 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Committee ID# C00000422
American Medical Association
1101 Vermont Avenue, SW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Susan Kaweski, MD
8415 Grant Avenue
La Mesa, CA 91941
Title: Custodian of Records
Phone # (619) 464-9876

Treasurer:

Susan Kaweski, MD
8415 Grant Avenue
La Mesa, California 91941
Title: Treasurer
Phone # (619) 464-9876

Designated Agent(s):

None

Banks or Depositories

UBOC
700 L Street
Sacramento, California 95814

Signed: Susan Kaweski, MD
Date Signed: 01/08/2013

FORM TEXT

(End FEC FORM 1)

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