FEC Disclosure Form 1M for Proliance Surgeons PACForm 1M for Proliance Surgeons PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-943536

1. Proliance Surgeons PAC

603 Stewart Street
Suite 819
Seattle, WA 98101

2. FEC Committee ID #: C00540112

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)	Cathy McMorris Rodgers	House of Representatives	Washington/05	08/26/2013
(ii)	John Cornyn	Senate	Texas/	10/29/2013
(iii)	Michael Enzi	Senate	Wyoming/	10/29/2013
(iv)	Rick Larsen	House of Representatives	Washington/02	10/29/2013
(v)	Nan Hayworth	House of Representatives	Nevada/18	07/29/2014

(b) Contributors: The committee received a contribution from its 51st contributor on: 09/30/2013

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 12/19/2012

(d) Qualification: The committee met the above requirements on: 07/29/2014

Treasurer: Philip Lloyd
Date Signed: 07/30/2014

(End FEC FORM 1M)

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