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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1233877

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1. Iowa Medical Society Political Action Committee

    515 E Locust Street
    Suite 400
    Des Moines, IA 50309
    Email: cswanson@iowamedical.org

    NOTE: Email address is different than previously reported

2. Date: 05/23/2018

3. FEC Committee ID #: C00003970 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Iowa Medical Society
515 E Locust Street
Ste 400
Des Moines, Iowa 50309
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michael Flesher
515 E. Locust St.
Ste 400
Des Moines, IA 50309
Title: CEO
Phone # (515) 223-1401

Treasurer:

John B Dooley
515 E Locust Street
Suite 400
Des Moines, Iowa 50309
Title: Treasurer
Phone # (515) 421-4774

Designated Agent(s):

Crystal Swanson
515 E Locust Street
Suite 400
Des Moines, Iowa 50309
Title: Finance Manager
Phone # (515) 421-4774

Banks or Depositories

West Bank
P.O. Box 65020
West Des Moines, Iowa 502650020

Signed: John Dooley
Date Signed: 05/23/2018
Official Committee URL: www.iowamedical.org

(End FEC FORM 1)

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