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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1620604

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1. VSP HOLDING COMPANY INC POLITICAL ACTION COMMITTEE (VSP - PAC)

    3333 QUALITY DRIVE (MS 163)
    RANCHO CORDOVA, CA 95670
    Email: StuaTh@VSP.com

2. Date: 07/21/2022

3. FEC Committee ID #: C00493502 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

VSP Holding Company, Inc.
3333 QUALITY DRIVE (MS 163)
RANCHO CORDOVA, California 95670
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stuart Thompson
3333 Quality Drive
Rancho Cordova, CA 95670
Title: Deputy Counsel
Phone # (916) 851-4922

Treasurer:

Monica Perez
3333 Quality Drive
Rancho Cordova, California 95670
Title: Sr. Vice President
Phone # (916) 851-4298

Designated Agent(s):

Stuart Thompson
3333 Quality Drive
Rancho Cordova, California 95670
Title: Deputy Counsel
Phone # (916) 851-4922

Monica Perez
3333 Quality Drive
Rancho Cordova, California 95670
Title: Sr. Vice President
Phone # (916) 851-4298

Tamara Kendrick
3333 Quality Drive
Rancho Cordova, California 95670
Title: Senior Manager
Phone # (916) 851-4741

Banks or Depositories

Union Bank
700 L Street
Sacramento, California 95814

Signed: Monica Perez
Date Signed: 07/30/2022
Official Committee URL: NONE

(End FEC FORM 1)

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