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-994118

1. California Medical Association Political Action Committee - Federal

1201 J Street, Suite 200
Sacramento, CA 95814
Email: sandyb@eichmancpa.com

2. Date: 02/19/2015

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

Affiliated Committees/Organizations

California Medical Association
1201 J Street, Suite 200
Sacramento, California 95814
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sion Roy, MD
825 12th Street, Suite 2
Santa Monica, CA 90403
Title: Custodian of Records
Phone # (804) 514-8778

Treasurer:

Sion Roy, MD
825 - 12th Street, Suite 2
Santa Monica, California 90403
Title: Treasurer
Phone # (804) 514-8778

Designated Agent(s):

None

Banks or Depositories

UBOC
700 L Street
Sacramento, California 95814

Signed: Sion Roy, MD
Date Signed: 02/19/2015

FORM TEXT-1

(End FEC FORM 1)

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