FEC Form 1 for VSP HOLDING COMPANY INC POLITICAL ACTION COMMITTEE (VSP - PAC)Form 1 for VSP HOLDING COMPANY INC POLITICAL ACTION COMMITTEE (VSP - PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751956

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

3333 QUALITY DRIVE (MS163)
RANCHO CORDOVA, CA 95670
Email: STUART@VSP.COM

2. Date: 11/08/2011

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: Counsel
Phone # (916) 851-4922

Treasurer:

Lester Earl Passuello
3333 Quality Drive
MS228
Rancho Cordova, California 95670
Title: Treasurer
Phone # (916) 851-4812

Designated Agent(s):

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

Laura Olson
3333 Quality Drive
Rancho Cordova, California 95670
Title: Assistant Treasurer
Phone # (916) 858-7440

Banks or Depositories

Union Bank
700 L Street
Sacramento, California 95814

Signed: Lester Earl Passuello
Date Signed: 11/08/2011
Official Committee URL: NONE

(End FEC FORM 1)

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