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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-904303

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1. Air Methods Corporation Political Action Committee (AMPAC)

    NOTE:Commmittee Name is different than previously reported

    1550 Larimer Street
    Suite 229
    Denver, CO 80202
    Email: TCarman@airmethods.com;ruthie.hubka@airmethods.com

    NOTE: Email address is different than previously reported

2. Date: 01/30/2014

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

Affiliated Committees/Organizations

Air Methods Corporation
7211 S. Peoria Street
Englewood, Colorado 80112
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Crystal Gordon
1550 Larimer Street
Suite 229
Denver, CO 80202
Title: Custodian of Records
Phone # (303) 256-4182

Treasurer:

Mr. Trent Carman
1550 Larimer Street
Suite 229
Denver, Colorado 80202
Title: Treasurer
Phone # (303) 792-7591

Designated Agent(s):

Ms Ruthie Hubka
1550 Larimer Street
Suite 229
Denver, Colorado 80202
Title: Designated Agent
Phone # (303) 792-7464

Banks or Depositories

KeyBank
1675 Broadway
Suite 400
Denver, Colorado 80202

Signed: Mr. Trent Carman
Date Signed: 01/30/2014

(End FEC FORM 1)

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