FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1060142
1. ACADIAN AMBULANCE SERVICE EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE, INC.
P.O. BOX 98000LAFAYETTE, LA 70509
Email: beth.leblanc@acadian.com;marie.roulstone@acadian.com
2. Date: 04/05/2016
3. FEC Committee ID #: C00335570 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Acadian Ambulance Service IncPO Box 98000
Lafayette, Louisiana 70509
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mrs. Erin Z. LeBlanc214 Hidden Grove Place
Lafayette, LA 70503
Title: Associate Counsel
Phone # (337) 291-4030
Treasurer:
Mrs. Erin Z. LeBlanc214 Hidden Grove Place
Lafayette, Louisiana 70503
Title: Associate Counsel
Phone # (337) 291-4030
Designated Agent(s):
Banks or Depositories
JP Morgan Chase BankPO Box 260180
Baton Rouge, Louisiana 70826