FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1293182
1. Cambia Health Solutions Inc. PAC
200 SW Market St.PO Box 1271 MS E12C
Portland, OR 97207
Email: fecinfo@pass1.com;ryan.frank@cambiahealth.com
NOTE: Email address is different than previously reported
2. Date: 11/30/2018
3. FEC Committee ID #: C00252684 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Cambia Health Solutions Inc.200 SW Market St.
PO Box 1271 MS E12C
Portland, Oregon 972071271
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Ryan Frank200 SW Market Street
M/S E12A
Portland, OR 97201
Title: Custodian of Records
Phone # (503) 225-5298
Treasurer:
Ryan Frank200 SW Market Street
M/S E12A
Portland, Oregon 97201
Title: Treasurer
Phone # (503) 225-5298
Designated Agent(s):
Banks or Depositories
Wells Fargo Bank NAPO Box 63020
San Francisco, California 94163