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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1482801

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1. Alliance For Natural Health USA PAC (ANH-USA PAC)

    1011 East Jefferson Street
    Suite 204
    Charlottesville, VA 22902

    NOTE: Address is different than previously reported

    Email: administration@anh-usa.org;gretchen@anh-usa.org

    NOTE: Email address is different than previously reported

2. Date: 12/14/2020

3. FEC Committee ID #: C00293902 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Alliance for Natural Health USA
1350 Connecticut Ave., NW
5th Floor
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Gretchen DuBeau
1011 East Jefferson Street
Suite 204
Charlottesville, VA 22902
Title: Executive/Legal Dir.
Phone # (800) 230-2762

Treasurer:

Mr. Jonathan Lizotte
1011 East Jefferson Street
Suite 204
Charlottesville, Virginia 22902
Title: Treasurer
Phone # (800) 230-2762

Designated Agent(s):

Banks or Depositories

Fidelity Investments
P.O. Box 770001
Cincinnati, Ohio 45277

Signed: Mr. Jonathan Lizotte
Date Signed: 12/14/2020
Official Committee URL: www.anh-usa.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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