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-938965

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

P.O. Box 26588
Birmingham, AL 35260

NOTE: Address is different than previously reported

Email: epoirier@medaxiom.com;pwhite@medaxiom.com

NOTE: Email address is different than previously reported

2. Date: 07/15/2014

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, LLC
2050 Kings Circle
Neptune Beach, Florida 32266
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Erin Poirier
2050 Kings Circle South
Neptune Beach, FL 32266
Title: Controller
Phone # (904) 372-2185

Treasurer:

Erin Poirier
2050 Kings Circle South
Neptune Beach, Florida 32266
Title: Treasurer
Phone # (904) 372-2185

Designated Agent(s):

Banks or Depositories

BB&T
363 Atlanttic Blvd
Suite 316
Atlantic Beach, Florida 32233

Signed: Sammie Cockrell
Date Signed: 07/15/2014
Official Committee URL: cardiologycaa.com

(End FEC FORM 1)

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