FEC Form 1 for Philips North America LLC Political Action CommitteeForm 1 for Philips North America LLC Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1151472

1. Philips North America LLC Political Action Committee

NOTE:Commmittee Name is different than previously reported

1050 K Street, NW
Suite 900
Washington, DC 20001
Email: PhilipsPAC@myfecnotices.com

2. Date: 03/01/2017

3. FEC Committee ID #: C00239780 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

Philips North America LLC
1050 K Street, NW
Suite 900
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Christine Fantacone
1050 K Street, NW
Suite 900
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 403-8091

Treasurer:

J.J. Olson
1050 K Street, NW
Suite 900
Washington, DC 20001
Title: Treasurer
Phone # (202) 403-8090

Designated Agent(s):

Christine Fantacone
1050 K Street, NW
Suite 900
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 403-8091

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1151472

1. Philips North America LLC Political Action Committee

NOTE:Commmittee Name is different than previously reported

2. Date: 03/01/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: J.J. Olson
Date Signed: 03/01/2017

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1151472

1. Philips North America LLC Political Action Committee

NOTE:Commmittee Name is different than previously reported

2. Date: 03/01/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: J.J. Olson Date Signed: 03/01/2017

(End FEC FORM 1)

Signed: J.J. Olson
Date Signed: 03/01/2017