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FEC Form 1 for AMERICAN AMBULANCE ASSOCIATION FEDERAL PAC (AKA AMBU-PAC)Form 1 for AMERICAN AMBULANCE ASSOCIATION FEDERAL PAC (AKA AMBU-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-433446


1. AMERICAN AMBULANCE ASSOCIATION FEDERAL PAC (AKA AMBU-PAC)

    8400 Westpark Drive
    2nd Floor
    McLean, VA 221025116
    Email: tnorth@the-aaa.org

2. Date: 09/24/2009

3. FEC Committee ID #: C00168070 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

AMERICAN AMBULANCE ASSOCIATION
8400 WestPark Drive
2nd Floor
McLean, Virginia 22102
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sue Zhen
8400 WestPark Drive
2nd Floor
McLean, VA 22102
Title: Staff Accountant
Phone # (703) 245-8083

Treasurer:

Denise Clark
8400 WestPark Drive
2nd Floor
McLean, Virginia 22102
Title: Treasurer
Phone # (703) 610-0207

Designated Agent(s):

Banks or Depositories

SUNTRUST BANK
1445 New York Avenue, NW
Washington, DC 20005

Signed: Denise Clark
Date Signed: 09/24/2009

(End FEC FORM 1)


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