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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-857827

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1. Cooperative of American Physicians IE Committee

    333 S Hope St 8th Floor
    Los Angeles, CA 90071
    Email: capie@millerpoliticallaw.com

2. Date: 02/20/2013

3. FEC Committee ID #: C00492116

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Cooperative of American Physicians
333 S Hope
8th Floor
Los Angeles, California 90071
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Rebecca Olson
400 Capitol Mall Ste 1545
Sacramento, CA 95814
Title: Treasurer
Phone # (916) 254-5180

Treasurer:

FED Rebecca Olson
400 Capitol Mall Ste 1545
Sacramento, California 95814
Title: Treasurer
Phone # (916) 254-5180

Designated Agent(s):

Kirk Alan Pessner
20 Park Rd Ste E
Burlingame, California 94010
Title: Assistant Treasurer
Phone # (650) 401-8735

Banks or Depositories

Wells Fargo Bank
333 S Grand Ave
Los Angeles, California 90071

Signed: Rebecca Olson
Date Signed: 02/20/2013
Official Committee URL: N/A

(End FEC FORM 1)

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