FEC Form 1 for OHIO STATE MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE (OSMAPAC)Form 1 for OHIO STATE MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE (OSMAPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1096695

1. OHIO STATE MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE (OSMAPAC)

5115 Parkcenter Ave
Ste 200
Dublin, OH 43017
Email: info@osma.org;tmaglione@osma.org

2. Date: 08/24/2016

3. FEC Committee ID #: C00003327 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Ohio State Medical Association
5115 Parkcenter Ave
Ste 200
Dublin, Ohio 43017
Affiliated Relationship Code: Connected Organization

American Medical Association Political
25 Massachusetts Ave NW
Suite 600
Washington, DC 20001
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Timothy I. Maglione, JD
5115 Parkcenter Ave Ste 200
Dublin, OH 430177553
Title: Treasurer OSMAPAC
Phone # (614) 527-6762

Treasurer:

Timothy I. Maglione, JD
5115 Parkcenter Ave Ste 200
Dublin, Ohio 430177553
Title: Treasurer OSMAPAC
Phone # (614) 527-6762

Designated Agent(s):

Banks or Depositories

Huntington Bank
3560 Fishinger Blvd
Hilliard, Ohio 43026

Signed: Timothy I. Maglione, JD
Date Signed: 08/24/2016
Official Committee URL: www.osmapac.org

(End FEC FORM 1)

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