FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-499512
1. Wake Emergency Physicians, PA PAC
570 New Waverly PlaceSuite 210
Cary, NC 27518
Email: brohawn@weppa.org
2. Date: 09/01/2010
3. FEC Committee ID #: C00412841 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Wake Emergency Physicians, PA570 New Waverly Place
Suite 210
Cary, North Carolina 27518
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Steven Roy Shelton570 New Waverly Place
Suite 210
Cary, NC 27518
Title: Director of Acctg
Phone # (919) 859-3373
Treasurer:
Michael Talmadge Brohawn570 New Waverly Place
Suite 210
Cary, North Carolina 27518
Title: Administrator
Phone # (919) 859-3373
Designated Agent(s):
Banks or Depositories
BB&T434 Fayetteville Street
Raleigh, North Carolina 27601