FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-409695
1. PHYSICIAN INSURERS ASSOCIATION OF AMERICA POLITICAL ACTION COMMITTEE (PIAAPAC)
NOTE:Commmittee Name is different than previously reported
2275 Research BlvdSuite 250
Rockville, MD 20850
Email: seastman@piaa.us
2. Date: 03/25/2009
3. FEC Committee ID #: C00319319 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00319319PHYSICIAN INSURERS ASSOCIATION OF AMERICA POLITICAL ACTION COMMITTEE (PIAAPAC)
2275 Research Blvd
Suite 250
Rockville, Maryland 20850
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Sheryl Eastman2275 Research Blvd., Ste. 250
Rockville, MD 20850
Title: Administrative Asst.
Phone # (301) 947-9000
Treasurer:
Mr. Lawrence E. Smarr14600 Poplar Hill Rock
Germantown, Maryland 20874
Title: Treasurer
Phone # (301) 947-9000
Designated Agent(s):
Mr. Mike Stinson3006 Bryan St.
Alexandria, Virginia 22302
Title: Assistant Treasurer
Phone # (301) 947-9000
Banks or Depositories
Merrill Lynch1040 Stoney Hill Road, Ste. 1050
Yardley, Pennsylvania 19067