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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-748260

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1. Healthcare Distribution Management Association Political Action Committee

    901 N. Glebe Road, Suite 1000
    Arlington, VA 22203
    Email: Abittman@hdmanet.org

    NOTE: Email address is different than previously reported

2. Date: 10/14/2011

3. FEC Committee ID #: C00247569 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Healthcare Distribution Management Association
901 N. Glebe Road, Suite 1000
Arlington, Virginia 22203
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. John M Gray
901 N. Glebe Road, Suite 1000
Arlington, VA 22203
Title: Chairman
Phone # (703) 787-0000

Treasurer:

Ms. Ann W Bittman
901 N. Glebe Road, Suite 1000
Arlington, Virginia 22203
Title: Treasurer
Phone # (703) 787-0000

Designated Agent(s):

Banks or Depositories

Suntrust Bank
1445 New York Avenue, NW
Washington, DC 20005

Signed: Ms Ann W Bittman
Date Signed: 10/14/2011

(End FEC FORM 1)

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