FEC Form 1 for AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-12717

1. AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEE

1101 VERMONT AVENUE NW
12TH FLOOR
WASHINGTON, DC 20005

2. Date: 03/15/2001

3. FEC Committee ID #: C00000422 This committee is a committee of the National Party.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

KEVIN WALKER
1101 VERMONT AVENUE NW
WASHINGTON, DC 20005

Designated Agent(s):

KEVIN WALKER
1101 VERMONT AVENUE NW
WASHINGTON, DC 20005
Title: TREASURER

NANCY WARREN
1101 VERMONT AVENUE NW
WASHINGTON, DC 20005
Title: ASSISTANT TREASURER

KINN ELLIOTT
1101 VERMONT AVENUE NW
WASHINGTON, DC 20005
Title: ASSISTANT TREASURER

ROBERT HERTZKA
PO BOX 1018
RANCHO SANTA FE, California 92067
Title: SECRETARY

Banks or Depositories

Signed: KEVIN WALKER
Date Signed: 03/15/2001

(End FEC FORM 1)

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