FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1007050
1. American Association of Physician Specialists Inc. Politician Action Committee (AAPSPAC)
5550 W. Executive Drive Suite 400Tampa, FL 33609
Email: jmorris@aapsus.org
2. Date: 05/08/2015
3. FEC Committee ID #: C00331017 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
American Association of Physician Specialists Inc.5550 W. Executive Drive Suite 400
Tampa, Florida 33609
Affiliated Relationship Code: Connected Organization
Custodian of Records:
William J. Carbone5550 Executive Dr Suite 400
Tampa, FL 33609
Title: Custodian
Treasurer:
Stephen Montes701 West Wedgewood
Muskegon, Michigan 49445
Title: Treasurer
Phone # (616) 773-3238
Designated Agent(s):
Steven Carin40 Grosvenor Hall
Athens, Ohio 45701
Phone # (740) 594-4722
Banks or Depositories
Bank Of Tampa4400 North Armenia Avenue
PO Box 1
Tampa, Florida 33601