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FEC Disclosure Form 1M for American Academy of Family Physicians Political Action CommitteeForm 1M for American Academy of Family Physicians Political Action Committee

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-196336


1. American Academy of Family Physicians Political Action Committee

2021 Massachusetts Ave. NW
Washington, DC 20036

2. FEC Committee ID #: C00411553

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:


NameOffice SoughtState/DistrictDate
(i) Ralph Regula for Congress
House of Representatives
Ohio/16
09/08/2005
(ii) PETE STARK RE-ELECTION COMMITTEE
House of Representatives
California/13
09/16/2005
(iii) Friends of Patrick Kennedy
House of Representatives
Rhode Island/1
09/21/2005
(iv) Bill Thomas Campaign Committee
House of Representatives
California/22
09/21/2005
(v) TIM MURPHY FOR CONGRESS
House of Representatives
Pennsylvania/18
09/21/2005

(b) Contributors: The committee received a contribution from its 51st contributor on: 08/01/2005

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 05/13/2005

(d) Qualification: The committee met the above requirements on: 09/21/2005

Treasurer: Randell K. Wexler MD
Date Signed: 01/17/2006

(End FEC FORM 1M)


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