FEC Form 1 for FIRST COLONIES ANESTHESIA ASSOCIATES LLC POLITICAL ACTION COMMITTEEForm 1 for FIRST COLONIES ANESTHESIA ASSOCIATES LLC POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1302001

1. FIRST COLONIES ANESTHESIA ASSOCIATES LLC POLITICAL ACTION COMMITTEE

7490 NEW TECHNOLOGY WAY
FREDERICK, MD 21703
Email: info@campaignfinancial.com

NOTE: Email address is different than previously reported

2. Date: 12/21/2018

3. FEC Committee ID #: C00416305 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

First Colonies Anesthesia Associates, LLC
3626 Ruffin Road
San Diego, California 92123
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Financial Services Campaign
PO Box 30844
Bethesda, MD 20824
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Jeremy Roth, MD
3626 Ruffin Road
San Diego, California 92123
Title: Treasurer
Phone # (301) 654-3220

Designated Agent(s):

Banks or Depositories

Suntrust Bank
1445 New York Ave NW
Washington, DC 20005

Signed: Jeremy Roth, MD
Date Signed: 12/21/2018

(End FEC FORM 1)

Generated Fri Jul 5 12:23:40 2024