FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1004605
1. American Association of Physician Specialists Inc. Politician Action Committee (AAPSPAC)
5550 W. Executive Drive Suite 400Tampa, FL 33609
Email: jmorris@aapsus.org
NOTE: Email address is different than previously reported
2. Date: 04/17/2015
3. FEC Committee ID #: C00331017This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
Custodian of Records:
William J. Carbone
5550 Executive Dr Suite 400
Tampa, FL 33609
Title: Custodian
Treasurer:
Stephen Montes
701 West Wedgewood
Muskegon, Michigan 49445
Title: Treasurer
Phone # (616) 773-3238
Designated Agent(s):
Steven Carin
40 Grosvenor Hall
Athens, Ohio 45701
Phone # (740) 594-4722
Banks or Depositories
Bank of America
PO Box 25118
Tampa, Florida 33622
Bank Of Tampa
4400 North Armenia Avenue
, ____ 33601
Signed: Stephen Montes
Date Signed: 04/17/2015
(End FEC FORM 1)
Date Signed: 04/17/2015