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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1539416

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1. Alliance for Pharmacy Compounding PAC (COMP PAC)

    100 Daingerfield Road
    Suite 401
    Alexandria, VA 22314
    Email: rogerseb@ballardspahr.com

2. Date: 09/21/2021

3. FEC Committee ID #: C00424143 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Alliance for Pharmacy Compounding
100 Daingerfield Road
Suite 401
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Rogers Emory
1909 K Street, NW
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 661-7639

Treasurer:

Pytlarz Alexander
330 3rd Street
St. Petersburg, Florida 33701
Title: Treasurer
Phone # (281) 933-8400

Designated Agent(s):

Banks or Depositories

SunTrust Bank
PO Box 305183
Nashville, Tennessee 37230

Signed: Pytlarz Alexander
Date Signed: 09/21/2021

FORM TEXT-1

(End FEC FORM 1)

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