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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1197762

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1. Air Methods Corporation Political Action Committee (AMPAC)

    P.O. Box 4682
    Englewood, CO 80155
    Email: ruthie.barko@airmethods.com;David.Doerr@airmethods.com

    NOTE: Email address is different than previously reported

2. Date: 11/30/2017

3. FEC Committee ID #: C00529909 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Air Methods Corporation
5500 S. Quebec Street
Englewood, Colorado 80111
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ruthie Barko
P.O. Box 4682
Englewood, CO 80155
Title: Custodian of Records
Phone # (303) 792-7464

Treasurer:

David Doerr
P.O. Box 4682
Englewood, Colorado 80155
Title: Treasurer
Phone # (303) 792-7468

Designated Agent(s):

Crystal Gordon
P.O. Box 4682
Englewood, Colorado 80155
Title: Assistant Treasurer

Banks or Depositories

KeyBank
1675 Broadway
Suite 400
Denver, Colorado 80202

Signed: David Doerr
Date Signed: 01/16/2018

(End FEC FORM 1)

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