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FEC Form 1 for Vizient, Inc., Political Action CommitteeForm 1 for Vizient, Inc., Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1080148


1. Vizient, Inc., Political Action Committee

    799 9th Street, N.W.
    Suite 210
    Washington, DC 20001
    Email: sheari.carruth@vizientinc.com

    NOTE: Email address is different than previously reported

2. Date: 06/27/2016

3. FEC Committee ID #: C00199497 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Vizient, Inc.
290 E. John Carpenter Freeway
Irving, Texas 75062
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Shoshana Krilow
799 9th Street, N.W.
Suite 210
Washington, DC 20001
Title: VP Pub. Policy & GR
Phone # (202) 354-2607

Treasurer:

Shoshana Krilow
799 9th Street, N.W.
Suite 210
Washington, DC 20001
Title: VP Pub. Policy & GR
Phone # (202) 354-2607

Designated Agent(s):

Steven Rixen
799 9th Street, NW
Suite 210
Washington, DC 20001
Title: Gov. Relations Dir.
Phone # (202) 354-2611

Banks or Depositories

The Northern Trust Company
P.O. Box 92000
Chicago, Illinois 606752000

Signed: Shoshana Krilow
Date Signed: 06/27/2016

(End FEC FORM 1)


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