FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-156967
1. Ohio State Medical Association Political Action Committee (OSMAPAC)
NOTE:Commmittee Name is different than previously reported
3401 Mill Run DriveHilliard, OH 43026
Fax: 6145276763
Email: osmapac@osma.org
2. Date: 12/22/2004
3. FEC Committee ID #: C00003327 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Committee ID# C00407569Columbus Medical Association Political Action Committee
431 East Broad Street
Columbus, Ohio 43215
Relationship: Affiliated
Ohio State Medical Association
3401 Mill Run Drive
Hilliard, Ohio 43026
Relationship: Connected
Organization Type: Membership Organization
Committee ID# C00000422
American Medical Association PAC
1101 Vermont Avenue NW
Washington, DC 20005
Relationship: Affiliated
Custodian of Records:
Timothy Maglione3401 Mill Run Drive
Hilliard, OH 43026
Treasurer:
Timothy Maglione3401 Mill Run Drive
Hilliard, Ohio 43026
Designated Agent(s):
Timothy Maglione3401 Mill Run Drive
Hilliard, Ohio 43026
Title: Treasurer
Phone # (614) 527-6762
Banks or Depositories
Bank OneBank One NA
Dept 1045
Columbus, Ohio 432711045