FEC Form 1 for Kentucky Educational Medical PACForm 1 for Kentucky Educational Medical PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-28716

1. Kentucky Educational Medical PAC

4965 US Highway 42 Suite 2000
Louisville, KY 40222
Email: kempac@kyma.org

2. Date: 03/01/2002

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

Affiliated Committees/Organizations

American Medical Association PAC
1101 Vermont Avenue NW
Washington, DC 20005
Relationship: Affiliated Committees

Kentucky Medical Association
Suite 2000
4965 US Highway 42
Louisville, Kentucky 40222
Relationship: Connected Organizations
Organization Type: Corporation W/O Capital Stock

Custodian of Records:

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

Treasurer:

Mary-Stuart Reichard
4965 US Highway 42 Suite 2000
Louisville, Kentucky 40222
Title: Treasurer
Phone # (502) 426-6200

Designated Agent(s):

Thomas E. Bunnell
2900 Chancellor Dr
Crestview Hills, Kentucky 41017
Phone # (859) 341-0288

Banks or Depositories

Kentucky Telco Federal Credit Union
3740 Bardstown Road
Louisville, Kentucky 40218

Signed: Mary-Stuart Reichard
Date Signed: 03/01/2002
Official Committee URL: kyma.org

(End FEC FORM 1)

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