FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-107574
1. OREGON MEDICAL POLITICAL ACTION COMMITTEE
5210 SW CORBETT AVENUEPORTLAND, OR 972393897
NOTE: Address is different than previously reported
Fax: 5032417148Email: sarita@theoma.org
2. Date: 12/29/2003
3. FEC Committee ID #: C00035766 This committee supports/opposes only one candidate and is NOT an Authorized Committee. Candidate Name:Affiliated Committees/Organizations
Committee ID# C00000422AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE
1101 VERMONT AVENUE NW
12TH FLOOR
WASHINGTON, DC
Organization Type: Membership Organization
Custodian of Records:
Sarita Marfin5210 SW Corbett Ave
Portland, OR 972393897
Title: Gov't Assistant
Phone # (503) 226-1555
Treasurer:
Dr. Martin Skinner5210 SW Corbett Ave
Portland, Oregon 972393897
Title: Treasurer
Phone # (503) 226-1555
Designated Agent(s):
Banks or Depositories
US BANKPOB 1800
St Paul, Minnesota 551010800