FEC Form 1 for Kentucky Medical Associaton PAC (Kentucky Educational Medical PAC - KEMPAC)Form 1 for Kentucky Medical Associaton PAC (Kentucky Educational Medical PAC - KEMPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-241238

1. Kentucky Medical Associaton PAC (Kentucky Educational Medical PAC - KEMPAC)

Suite 2000
4965 US Highway 42
Louisville, KY 40222
Fax: 502-326-2696
Email: kempac@kyma.org

2. Date: 03/01/2002

3. FEC Committee ID #: C00016444 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Katie Rafferty
Suite 2000
4965 US Highway 42
Louisville, KY 40222
Title: Custodian
Phone # (502) 426-6200

Treasurer:

Susan G. Bornstein, MD
Suite 2000
4965 US Highway 42
Louisville, Kentucky 40222
Title: Treasurer
Phone # (502) 426-6200

Designated Agent(s):

Banks or Depositories

Signed: Susan G. Bornstein, MD
Date Signed: 10/09/2006
Official Committee URL: kyma.org
Official Committee FAX: 502-326-2696

(End FEC FORM 1)

Generated Fri Nov 1 18:59:59 2024