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-1432278

1. FIRST COLONIES ANESTHESIA ASSOCIATES LLC POLITICAL ACTION COMMITTEE

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

2. Date: 08/14/2020

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

Committee ID# C00574103
U.S. Anesthesia Partners, Inc. PAC D/B
12222 Merit Drive
Suite 700
Dallas, Texas 75251
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

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

Treasurer:

Tyler McBee
12222 Merit Drive
Suite 700
Dallas, Texas 75251
Title: Treasurer
Phone # (301) 654-3220

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1432278

1. FIRST COLONIES ANESTHESIA ASSOCIATES LLC POLITICAL ACTION COMMITTEE

2. Date: 08/14/2020

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Tyler McBee
Date Signed: 08/14/2020

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1432278

1. FIRST COLONIES ANESTHESIA ASSOCIATES LLC POLITICAL ACTION COMMITTEE

2. Date: 08/14/2020

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Tyler McBee Date Signed: 08/14/2020

(End FEC FORM 1)

Signed: Tyler McBee
Date Signed: 08/14/2020