FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1215053
1. American Medical Response Inc Political Action Committee
6363 S Fiddlers Green Circle14th Floor
Greenwood Village, CO 801115011
Email: tim.dorn@amr.net
2. Date: 03/20/2018
3. FEC Committee ID #: C00389585 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
American Medical Response, Inc.6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Affiliated Relationship Code: Connected Organization
NONE
, ____
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Terri Olmsted6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, CO 801115011
Title: Supervisor Bank Rec
Phone # (303) 495-1418
Treasurer:
Mr Timothy J. Dorn6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Title: Chief Financial Offi
Phone # (303) 495-1517
Designated Agent(s):
Timothy J. Dorn6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Title: Chief Financial Offi
Phone # (303) 495-1517
Timothy J Dorn
6363 S Fiddlers Green Circle
14th Floor
Greenwood Village, Colorado 801115011
Title: Chief Financial Offi
Phone # (303) 495-1517
Banks or Depositories
Wells Fargo Bank600 Cuthbert Blvd
Haddon Township, New York 08108
Wells Fargo Bank
600 Cuthbert Blvd.
Haddon Township, New York 08108