FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1539059
1. EMERGENCY DEPARTMENT PRACTICE MANAGEMENT ASSOCIATION PAC (EDPMA-PAC)
7918 JONES BRANCH DRIVESUITE 300
MCLEAN, VA 22102
Email: afrederick@edpma.org
NOTE: Email address is different than previously reported
2. Date: 08/24/2021
3. FEC Committee ID #: C00388470 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Committee ID# C00388470EMERGENCY DEPARTMENT PRACTICE MANAGEMENT ASSOCIATION PAC (EDPMA-PAC)
7918 JONES BRANCH DRIVE
SUITE 300
MCLEAN, Virginia 22102
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Patrick Velliky1907 Locust Grove Rd.
Silver Spring, MD 20910
Title: Treasurer
Treasurer:
Patrick Velliky1907 Locust Grove Rd.
Silver Spring, Maryland 20910
Title: Treasurer
Phone # (571) 685-8017
Designated Agent(s):
Patrick Velliky1907 Locust Grove Rd.
Silver Spring, Maryland 20910
Banks or Depositories
PNC Bank1201 Wisconsin Ave NW
Washington, DC 20007