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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1172724

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1. COMMUNITY ONCOLOGY ALLIANCE PAC

    1634 I Street NW
    Suite 1200
    Washington, DC 20006

    NOTE: Address is different than previously reported

    Email: ddickson@coacancer.org,tokon@coacancer.org

2. Date: 07/18/2017

3. FEC Committee ID #: C00383976 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Community Oncology Alliance
1634 I Street NW
Suite 1200
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Deandra Dickson
760 Lynnhaven Parkway
Suite 150
Virginia Beach, VA 23452
Title: Executive Assistant
Phone # (757) 822-6134

Treasurer:

Michael Diaz
800 S Dakota Ave
401
Tampa, Florida 33606
Title: Treasurer
Phone # (757) 822-6134

Designated Agent(s):

Theodore A. Okon
30 Wintergreen Drive
Monroe, Connecticut 06468
Title: Executive Director
Phone # (203) 715-0300

Banks or Depositories

Wells Fargo
672 Battelfield Boulevard N
Chesapeake, Virginia 23320

Signed: Michael Diaz
Date Signed: 07/18/2017

FORM TEXT-1

(End FEC FORM 1)

Generated Sat Jul 6 21:58:53 2024