FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-473298
1. Kentucky Medical Association PAC (Kentucky Physicians PAC Federal-KPPAC Federal)
4965 US Highway 42Suite 2000
Louisville, KY 40222
Email: kppac@kyma.org
2. Date: 06/03/2010
3. FEC Committee ID #: C00016444 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Kentucky Medical Association4965 US Highway 42
Suite 2000
Louisville, Kentucky 402226379
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Laura Hartz4965 US Hwy 42
Suite 2000
Louisville, KY 402226379
Title: Custodian of Records
Phone # (502) 426-6200
Treasurer:
David R Watkins, MD4965 US Hwy 42, Suite 2000
Louisville, Kentucky 402226379
Title: Treasurer
Phone # (502) 426-6200
Designated Agent(s):
Banks or Depositories
PNC Bank, ____ 0.00
PNC Bank
, ____