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FEC Form 1 for New Jersey Medical Political Action CommitteeForm 1 for New Jersey Medical Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-268960


1. New Jersey Medical Political Action Committee

    2 Princess Road
    Lawrenceville, NJ 08648
    Fax: 6098961368
    Email: mshea@msnj.org

2. Date: 01/15/2007

3. FEC Committee ID #: C00039123 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00039123
New Jersey Medical Action Committee
2 Princess Road
Lawrenceville, New Jersey 08648
Organization Type: Membership Organization

Custodian of Records:


Treasurer:

Michael Kornett
2 Princess Road
Lawrenceville, New Jersey 08648
Title: Treasurer
Phone # (609) 896-1766

Designated Agent(s):

Banks or Depositories

Signed: Michael Kornett
Date Signed: 01/15/2007
Official Committee URL: http://www.msnj.org
Official Committee FAX: 6098961368

(End FEC FORM 1)


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