FEC Form 1 for OHIOHEALTH STAR CORPORATION POLITICAL ACTION COMMITTEE DBA OHIOHEALTH PACForm 1 for OHIOHEALTH STAR CORPORATION POLITICAL ACTION COMMITTEE DBA OHIOHEALTH PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1321885

1. OHIOHEALTH STAR CORPORATION POLITICAL ACTION COMMITTEE DBA OHIOHEALTH PAC

180 E. BROAD STREET, 34TH FLOOR
COLUMBUS, OH 43215
Email: Karen.Morrison@ohiohealth.com;Jeffrey.Kasler@ohiohealth.com

2. Date: 04/01/2019

3. FEC Committee ID #: C00210617 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Committee ID# C00210617
OHIOHEALTH STAR CORPORATION POLITICAL ACTION COMMITTEE DBA OHIOHEALTH PAC
180 E. BROAD STREET, 34TH FLOOR
COLUMBUS, Ohio 43215
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Karen J Morrison
180 E. Broad Street
Columbus, Ohio 43215
Title: Sr VP
Phone # (614) 544-4422

Designated Agent(s):

Mary B Cummins
100 S. Third Street
Columbus, Ohio 43215
Phone # (614) 227-8884

Banks or Depositories

US Bank
7300 Chapman HWY
Knoxville, Tennessee 37920

PNC Bank
One Financial Parkway
Kalamazoo, Michigan 49009

Signed: Karen J Morrison
Date Signed: 04/02/2019

FORM TEXT-1

(End FEC FORM 1)

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