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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1039850

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1. The Doctors Company Federal PAC (DOCPAC)

    185 Greenwood Road
    Napa, CA 94558
    Email: outsourcing@aristotle.com;EHealy@TheDoctors.com

2. Date: 01/05/2015

3. FEC Committee ID #: C00300376 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

The Doctors Company
185 Greenwood Rd
Napa, California 945586270
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Elizabeth Healy
185 Greenwood Rd
Napa, CA 945586270
Title: Custodian of Records
Phone # (707) 226-0413

Treasurer:

Elizabeth Healy
185 Greenwood Rd
Napa, California 945586270
Title: Treasurer
Phone # (707) 226-0413

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
200 B Street
Suite 300
Santa Rosa, California 95401

Signed: Elizabeth Healy
Date Signed: 01/14/2016

FORM TEXT-1

(End FEC FORM 1)

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