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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1505228

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1. American Pharmacists Association Political Action Committee

    2215 Constitution Avenue, NW
    Washington, DC 20037
    Email: PAC@aphanet.org;MRDouglass@APhAnet.org

    NOTE: Email address is different than previously reported

2. Date: 03/19/2021

3. FEC Committee ID #: C00193854 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00193854
American Pharmacists Association
2215 Constitution Avenue, NW
Washington, DC 20037
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Shannon Morrison
2215 Constitution Ave., NW
Washington, DC 20037
Title: CFO
Phone # (202) 429-6302

Treasurer:

Shannon Morrison
2215 Constitution Ave., NW
Washington, DC 20037
Title: CFO
Phone # (202) 429-6302

Designated Agent(s):

Shannon Morrison
2215 Constitution Ave., NW
Washington, DC 20037
Title: CFO
Phone # (202) 429-6302

Banks or Depositories

Wachovia Bank
NC8502, PO Box 563966
Charlotte, North Carolina 28256

Signed: Shannon Morrison
Date Signed: 03/19/2021
Official Committee URL: http://www.pharmacist.com

(End FEC FORM 1)

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