FEC Form 1 for The Doctors Company Federal PAC (DOCPAC)Form 1 for The Doctors Company Federal PAC (DOCPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-765687

1. The Doctors Company Federal PAC (DOCPAC)

185 Greenwood Road
Napa, CA 94558
Email: outsourcing@aristotle.com

2. Date: 02/14/2012

3. FEC Committee ID #: C00300376 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

The Doctors Company
185 Greenwood Road
Napa, California 94558
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Harry Dasinger
185 Greenwood Road
Napa, California 945586270
Title: Treasurer
Phone # (707) 226-0208

Designated Agent(s):

Elizabeth Healy
185 Greenwood Road
Napa, California 945586270
Title: Assistant Treasurer
Phone # (707) 226-0413

Banks or Depositories

Wells Fargo Bank
200 B Street
Suite 300
Santa Rosa, California 95401

Signed: Mr. Harry Dasinger
Date Signed: 02/14/2012

(End FEC FORM 1)

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