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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1506359

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1. Anesthesia Service Medical Group Advocacy Fund

    7185 Navajo Road Suite J
    San Diego, CA 92119

    NOTE: Address is different than previously reported

    Email: april@aprilboling.com

2. Date: 03/25/2021

3. FEC Committee ID #: C00216184 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

None

Treasurer:

C. April Boling
7185 Navajo Road, Suite J
San Diego, California 92119
Title: Treasurer
Phone # (619) 713-6888

Designated Agent(s):

None

Banks or Depositories

Bank of San Francisco
575 Market Street
San Francisco, California 94105

Signed: C. April Boling
Date Signed: 03/25/2021

(End FEC FORM 1)

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