FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-409543
1. PACIFIC PULMONARY SERVICES POLITICAL ACTION COMMITTEE
88 ROWLAND WAY SUITE 300NOVATO, CA 94945
Email: ppspac@ppsc.com
2. Date: 03/20/2009
3. FEC Committee ID #: C00403998This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Jon R Alsterlind
88 Rowland Way
Suite 300
Novato, CA 94945
Title: Treasurer
Phone # (415) 893-1518
Treasurer:
Jon R Alsterlind
88 Rowland Way
Suite 300
Novato, California 94945
Title: Treasurer
Phone # (415) 893-1518
Designated Agent(s):
Chris Kane
40 Geary Avenue
Fairfax, California 94930
Title: Assistant Treasurer
Phone # (415) 893-1518
Banks or Depositories
Bank of America
1655 Grant Street
Concord, California 94520
Signed: Jon R Alsterlind
Date Signed: 03/25/2009
(End FEC FORM 1)
Date Signed: 03/25/2009