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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-265310


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

    Suite 2000
    4965 US Highway 42
    Louisville, KY 40222
    Fax: 502.-32.6-2696
    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:

Kristin L. Sutton
Suite 2000
4965 US Highway 42
Louisville, KY 40222
Title: Custodian
Phone # (502) 426-6200

Treasurer:


, ____

Designated Agent(s):

Banks or Depositories

Signed: Susan G. Bornstein, MD
Date Signed: 12/11/2006
Official Committee URL: kyma.org
Official Committee FAX: 502-326-2696

(End FEC FORM 1)


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