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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1661854

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1. Cooperative of American Physicians Federal Political Action Committee

    333 S. Hope Street, 8th Floor
    Los Angeles, CA 90071
    Email: info@millerpoliticallaw.com

2. Date: 11/17/2022

3. FEC Committee ID #: C00161604 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Cooperative of American Physicians
333 S. Hope Street, 8th Floor
Los Angeles, California 90071
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Rebecca J. Olson
400 Capitol Mall, Suite 1545
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 254-5180

Treasurer:

Rebecca Olson
400 Capitol Mall, Ste. 1545
Sacramento, California 95814
Title: Treasurer
Phone # (916) 254-5180

Designated Agent(s):

Russell H. Miller
20 Park Road, Suite E
Burlingame, California 94010
Title: Assistant Treasurer
Phone # (650) 401-8735

Banks or Depositories

US Bank
633 West 5th Street
Los Angeles, California 90071

Signed: Rebecca J. Olson
Date Signed: 11/16/2022

(End FEC FORM 1)

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