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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1048068

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1. ORGANIZATION FOR HEALTHCARE INNOVATION IN OHIO PAC

    545 E TOWN ST
    COLUMBUS, OH 43215
    Email: michael.robert.dalton@gmail.com;ccolombo@electionlawgroup.com

2. Date: 11/18/2014

3. FEC Committee ID #: C00511386

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Michael Dalton
27 Hoffman Ave
Columbus, OH 43205
Title: Treasurer
Phone # (234) 312-5259

Treasurer:

Michael Dalton
27 Hoffman Ave
Columbus, Ohio 43205
Title: Treasurer
Phone # (234) 312-5259

Designated Agent(s):

Banks or Depositories

Fifth Third Bank
21 E State St
Columbus, Ohio 43215

Signed: Michael Dalton
Date Signed: 02/04/2016
Official Committee URL: None

(End FEC FORM 1)

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