FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1154143
1. Iowa Medical Society Political Action Committee
515 E Locust StreetSuite 400
Des Moines, IA 50309
Email: jhart@iowamedical.org
NOTE: Email address is different than previously reported
2. Date: 03/28/2017
3. FEC Committee ID #: C00003970 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
Iowa Medical Society515 E Locust Street
Ste 400
Des Moines, Iowa 50309
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Clare M Kelly515 E Locust Street
Suite 400
Des Moines, IA 503091968
Treasurer:
Gene Lariviere515 E Locust Street
Suite 400
Des Moines, Iowa 503091968
Title: Treasurer
Phone # (515) 421-4773
Designated Agent(s):
James A Hart515 E Locust Street
Suite 400
Des Moines, Iowa 50309
Title: Manager Finance
Phone # (515) 421-4773
Banks or Depositories
West BankP.O. Box 65020
West Des Moines, Iowa 502650020