FEC Form 1 for Emergency Department Practice Management Association PAC (EDPMA-PAC)Form 1 for Emergency Department Practice Management Association PAC (EDPMA-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408335

1. Emergency Department Practice Management Association PAC (EDPMA-PAC)

1760 Old Meadow Road
Suite 500
McLean, VA 22102
Email: None

2. Date: 03/19/2009

3. FEC Committee ID #: C00388470 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Emergency Department Practice Management Association
1760 Old Meadow Road
Suite 500
McLean, Virginia 22102
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Leslie J. Kerman
6849 Old Dominion Drive
Suite 222
McLean, VA 22101
Title: Assistant Treasurer
Phone # (571) 633-9741

Treasurer:

William C. Schumacher
200 Corporate Boulevard
Suite 201
Lafayette, Louisiana 70508
Title: Treasurer
Phone # (337) 354-1102

Designated Agent(s):

Leslie J. Kerman
6849 Old Dominion Drive
Suite 222
McLean, Virginia 22101
Title: Assistant Treasurer
Phone # (571) 633-9741

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408335

1. Emergency Department Practice Management Association PAC (EDPMA-PAC)

2. Date: 03/19/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Leslie J. Kerman
Date Signed: 03/19/2009
Official Committee URL: None

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408335

1. Emergency Department Practice Management Association PAC (EDPMA-PAC)

2. Date: 03/19/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Leslie J. Kerman Date Signed: 03/19/2009 Official Committee URL: None

(End FEC FORM 1)

Signed: Leslie J. Kerman
Date Signed: 03/19/2009
Official Committee URL: None