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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-858547

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1. MVP Health Care Inc. Federal PAC

    625 State Street
    Schenectady, NY 12305
    Email: jestey@mvphealthcare.com;pac@mvphealthcare.com

    NOTE: Email address is different than previously reported

2. Date: 02/26/2013

3. FEC Committee ID #: C00431429 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

MVP Health Care Inc.
625 State Street
Schenectady, New York 12305
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Jordan T Estey
1 N. Main Ave
Albany, New York 12203
Title: Treasurer
Phone # (518) 388-2610

Designated Agent(s):

Banks or Depositories

M&T Bank
1766 Union Street
Schectady, New York 12309

Signed: Jordan T. Estey
Date Signed: 02/26/2013

(End FEC FORM 1)

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