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-850881

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

P.O. Box 26588
Birmingham, AL 35260

NOTE: Address is different than previously reported

Email: sammie@cardiologycaa.com;Sammie@caahms.com

NOTE: Email address is different than previously reported

2. Date: 01/30/2013

3. FEC Committee ID #: C00421040 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

CARDIOLOGY ADVOCACY ALLIANCE, INC
P.O. Box 26588
Birmingham, Alabama 35260
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sammie Cockrell
P.O. Box 26588
Birmingham, AL 35226
Title: Executive Director
Phone # (202) 505-2221

Treasurer:

Sammie Cockrell
P.O. Box 26588
Birmingham, Alabama 35226
Title: Executive Director
Phone # (202) 505-2221

Designated Agent(s):