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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1174522

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1. National Emergency Medicine Political Action Committee

    4950 W Royal Lane
    Irving, TX 75038

    NOTE: Address is different than previously reported

    Email: lpowers@acep.org

2. Date: 07/23/2017

3. FEC Committee ID #: C00140061 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American College of Emergency Physicians
4950 W Royal Lane
4950 W Royal Lane
Irving, Texas 75063
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mrs. Layla Powers, MBA
PO Box 619911
Dallas, TX 75261
Title: Controller
Phone # (972) 550-0911

Treasurer:

Mrs. Layla Powers, MBA
PO Box 619911
Dallas, Texas 75261
Title: Controller
Phone # (972) 550-0911

Designated Agent(s):

Banks or Depositories

JPMorgan Chase Bank NA
1717 Main Street
3rd Floor
Dallas, Texas 75201

MorganStanley SmithBarney
1050 Connecticut NW

Washington, DC 20036

Signed: Mrs. Layla Powers, MBA
Date Signed: 07/23/2017

(End FEC FORM 1)

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