FEC Form 1 for CARDIOLOGY ADVOCACY ALLIANCE INC POLITICAL ACTION COMMITTEE (CAAPAC)Form 1 for CARDIOLOGY ADVOCACY ALLIANCE INC POLITICAL ACTION COMMITTEE (CAAPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-764023

1. CARDIOLOGY ADVOCACY ALLIANCE INC POLITICAL ACTION COMMITTEE (CAAPAC)

P.O. Box 64
Annapolis, MD 21401

NOTE: Address is different than previously reported

Email: jen@cardiologycaa.com

2. Date: 01/31/2012

3. FEC Committee ID #: C00421040 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

CARDIOLOGY ADVOCACY ALLIANCE, INC
P.O. Box 63
ANNAPOLIS, Maryland 21401
Affiliated Relationship Code: Connected Organization

Custodian of Records:

JENNIFER Louise SEARFOSS
124 South Street
Suite 4
ANNAPOLIS, MD 21401
Title: CAA Exec Director
Phone # (410) 703-2635

Treasurer:

JENNIFER Louise SEARFOSS
124 South Street
Suite 4
ANNAPOLIS, Maryland 21401
Title: CAA Exec Director
Phone # (410) 703-2635

Designated Agent(s):