FEC Form 1 for ALABAMA MEDICAL PAC - Medical Association of the State of AlabamaForm 1 for ALABAMA MEDICAL PAC - Medical Association of the State of Alabama

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-280880

1. ALABAMA MEDICAL PAC - Medical Association of the State of Alabama

PO BOX 22
MONTGOMERY, AL 36101
Fax: 3342612020
Email: cflack@masalink.org

2. Date: 01/10/2007

3. FEC Committee ID #: C00004911 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Medical Association of the State of Alabama
19 South Jackson Street
Montgomery, Alabama 36104
Relationship: Connected
Organization Type: Membership Organization

Committee ID# C70001847
American Medical Political Action Comm
1101 Vermont Avenue NW
Washington, DC 20005
Relationship: Affiliated
Organization Type: Membership Organization

Custodian of Records:

Mr. Richard Whitaker
P.O. Box 22
Montgomery, AL 36101
Title: Secretary/Treasurer
Phone # (334) 261-2000

Treasurer:

Mr. Richard Whitaker
P.O. Box 22
Montgomery, Alabama 36101
Title: Treasurer
Phone # (334) 261-2000

Designated Agent(s):

Banks or Depositories

AmSouth Bank
P.O. Drawer 431
Montgomery, Alabama 36101

Regions Bank
P.O. Box 511
Montgomery, Alabama 36101

Colonial Bank
100 Colonial Bank Blvd
Montgomery, Alabama 36117

Signed: Mr. Richard Whitaker
Date Signed: 03/14/2007
Official Committee FAX: 3342612020

(End FEC FORM 1)

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