FEC Form 1 for Philips North America LLC Political Action CommitteeForm 1 for Philips North America LLC Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1559058

1. Philips North America LLC Political Action Committee

901 15th St NW
Suite 510
Washington, DC 20005

NOTE: Address is different than previously reported

Email: PhilipsPAC@myfecnotices.com

2. Date: 01/24/2022

3. FEC Committee ID #: C00239780 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Philips North America LLC
901 15th St NW
Suite 510
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Angel Riley
901 15th St NW
Suite 510
Washington, DC 20005
Title: Custodian of Records
Phone # (240) 419-4805

Treasurer:

Angel Riley
901 15th St NW
Suite 510
Washington, DC 20005
Title: Treasurer
Phone # (240) 419-4805

Designated Agent(s):

David Shoultz
901 15th St NW
Suite 510
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 962-8556

Banks or Depositories

Wells Fargo
P.O. Box 6995
Portland, Oregon 972286995

Signed: Angel Riley
Date Signed: 01/24/2022

(End FEC FORM 1)

Generated Wed Jul 10 01:38:51 2024