FEC Form 1 for ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS POLITICAL ACTION COMMITTEE (AAPS-PAC)Form 1 for ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS POLITICAL ACTION COMMITTEE (AAPS-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-776673

1. ASSOCIATION OF AMERICAN PHYSICIANS AND SURGEONS POLITICAL ACTION COMMITTEE (AAPS-PAC)

1601 N Tucson Blvd
Suite 9
Tucson, AZ 85716

NOTE: Address is different than previously reported

Email: pac@aapspac.com

NOTE: Email address is different than previously reported

2. Date: 04/13/2012

3. FEC Committee ID #: C00041590 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Association of American Physicians and Surgeons, Inc.
1601 N Tucson Blvd.
Suite 9
Tucson, Arizona 85716
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jeremy Snavely
1601 N. Tucson Blvd
Suite 9
Tucson, AZ 85711

Treasurer:

James F Coy
1601 N Tucson Blvd
Suite 9
Tucson, Arizona 85716
Title: Treasurer
Phone # (239) 340-9038

Designated Agent(s):

Banks or Depositories

Chase Bank
4711 E Speedway Blvd
Tucson, Arizona 85712

Riverside Bank
PO Box 2020
Ft Pierce, Florida 34954

Signed: James F Coy
Date Signed: 04/13/2012
Official Committee URL: http://www.aapspac.com

NOTE: URL is different than previously reported

(End FEC FORM 1)

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