FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-147872
1. COOPERATIVE OF AMERICAN PHYSICIANS FEDERAL ACTION COMMITTEE
333 South Hope Street8th Floor
Los Angeles, CA 90071
2. Date: 10/26/2004
3. FEC Committee ID #: C00161604 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Cooperative of American Physicians333 South Hope
8th Floor
Los Angeles, California 90071
Relationship: Sponsoring Organization
Organization Type: Membership Organization
Custodian of Records:
Brett LaRock333 South Hope Street
8th Floor
Los Angeles, CA 90071
Title: Assistant Treasurer
Treasurer:
Vincent Gualtieri, MD333 South Hope Street
8th Floor
Los Angeles, California 90071
Title: Treasurer
Designated Agent(s):
Cindy Lesonsky333 South Hope Street
8th Floor
Los Angeles, California 90071
Title: Assistant Treasurer
Brett LaRock
333 South Hope Street
8th Floor
Los Angeles, California 90071
Title: Assistant Treasurer
Banks or Depositories
Wells Fargo Bank3550 Wilshire Blvd.
Los Angeles, California 90010