FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-996575
1. COMMUNITY ONCOLOGY ALLIANCE PAC
1101 Pennsylvania Avenue SWWashington, DC 20004
NOTE: Address is different than previously reported
Email: jfoth@coacancer.org;tokon@coacancer.orgNOTE: Email address is different than previously reported
2. Date: 03/12/2015
3. FEC Committee ID #: C00383976 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Community Oncology Alliance1101 Pennsylvania Avenue
Suite 700
Washington, DC 20004
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Jennifer Foth760 Lynnhaven Parkway
Suite 150
Virginia Beach, VA 23452
Title: Operations Coordinat
Phone # (757) 822-6134
Treasurer:
Michael Diaz800 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 Fargo672 Battelfield Boulevard N
Chesapeake, Virginia 23320