PAC Donors
FamDocPAC Successes The FamDoc PAC board met via conference call in November 2020. The group reviewed public awareness efforts which included having a PAC booth at every CME MAFP meeting to be manned by Board members, AAFP dues insert with PAC contribution information, and creating an article for upcoming newsletters. The board reviewed the bylaws and discussed previous contributions and process of choosing candidates. The group agreed personal delivery of contributions from our members was a great opportunity to build relationships and would like
to continue in the future. The board set a goal of raising $25,000 for the 2021 year. The board approved letters to previous contributors, new physicians and life members to help reach our goal. It is important to know that our contributions are nonpartisan and are based on friends or champions for family medicine.
ADVOCACY
FamDocPAC Board of Trustees 2021 Chair ........................................................................................................Dr. Katie Patterson, Indianola Vice Chair ........................................................................................................ Dr. David Wheat, Clinton Sec./Treasurer ..................................................................................................... Beth Embry, Exec. Dir. Rep. Congressional District 1 ................................................................... Dr. Bruce Longest, Bruce Rep. Congressional District 2 ........................................................ Dr. Susan Chiarito, Vicksburg Rep. Congressional District 3 ...........................................................Dr. Word Johnston, Mt. Olive Rep. Congressional District 4 ........................................................ Dr. Jeremy Wells, Hattiesburg Rep. At Large ....................................................................................................Dr. Bill Jackson, Corinth Rep. At Large .........................................................................................Dr. Jennifer Gholson, Summit Ex-Officio ............................................................................................... Dr. James Griffin, Hattiesburg Ex-Officio ...................................................................................................... Dr. Brent Smith, Cleveland You may contribute to FamDocPAC with a 1-time donation or in installment payments. Mail a donation to FamDocPAC, 755 Avignon Drive, Ridgeland, MS 39157, or call MAFP at (601) 853-3302 to make a donation by phone.
Name*: _____________________________________________ Date: ________________________ Address*: __________________________________________________________________________ City/State/ZIP*: ____________________________________________________________________ Occupation*: _______________________________________________________________________ Employer*: _________________________________________________________________________ Phone: __________________________________ Email: ___________________________________ *Election law requires FamDocPAC to report the name, address, occupation, and employer name for anyone who contributes $200.00 or more in a calendar year.
(Cash cannot exceed $100.)
Card Number/Exp. Date/Code: ________________________________________________________
I am aware of the political purposes of FamDocPAC; understand that contributions to FamDocPAC are purely voluntary and that these suggested contribution amounts are only guidelines. I further understand that I will not be favored or disadvantaged by reason of the amount of my contribution or a decision not to contribute. Contributions to FamDocPAC are not tax deductible for federal income tax purposes. Mail to: FamDocPAC, 755 Avignon Drive, Ridgeland MS 39157. Secretary/Treasurer Beth Embry, beth@msafp.org.
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GILDED EAGLE LEVEL ($2500-$5000)
Katie Patterson, MD, Indianola
ROTUNDA LEVEL ($1000-2500)
Anthony Cloy, MD, Jackson Brent Smith, MD, Cleveland
CHAMBER LEVEL ($500-999)
Tim Alford, MD, Kosciusko Susan A. Chiarito, MD, Vicksburg James W. Griffin Jr., MD, Hattiesburg Stephen Hammack, MD, Madison Word Johnston, MD, Mt. Olive Carlos Latorre, MD, Vicksburg Bruce Longest, MD, Bruce Paul Pavlov, MD, Biloxi Sue H. Simmons, MD, Mathiston Jeremy Wells, MD, Hattiesburg
GALLERY LEVEL ($365-499)
FamDocPAC Contribution Form
Amount Donated: ________________________ Payment: ___ Check ___ Card ___ Cash
Thanks to these family physician donors, FamDocPAC has been successful in raising funds for the next election cycle. Well on the way to meeting its $25,000 goal, the PAC has $18,740 in combined donations and committed donations through the end of 2021.
Stephen Coachys, MD, Ridgeland Jennifer Gholson, MD, Summit Gene Loper, MD, Ridgeland Katherine Royals, MD, Purvis
CAPITOL STEPS LEVEL (Up to $364)
Jonathan Buchanan, MD, Carthage Scott Carlton, MD, Jackson Tim Folse, MD, Memphis, Tenn. Barbara Goodman, MD, Meridian Bill Grantham, MD, Brandon Anna Marie Hailey-Sharp, MD, Preston Bill Jackson, MD, FAAFP, Corinth Erik Lessman, MD, Indianola David Moody, MD, Carthage Samantha Mosby, DO, Collinsville Christy Vowell, DO, Eupora David Wheat, MD, Clinton THE MISSISSIPPI FAMILY PHYSICIAN
