FEC Form 1 for DaVita HealthCare Partners, Inc. Political Action Committee (DaPAC)Form 1 for DaVita HealthCare Partners, Inc. Political Action Committee (DaPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-914575

1. DaVita HealthCare Partners, Inc. Political Action Committee (DaPAC)

32275 32nd Avenue, S.
Federal Way, WA 98001
Email: dapac@davita.com

2. Date: 04/02/2014

3. FEC Committee ID #: C00340943 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

DaVita HealthCare Partners, Inc.
32275 32nd Avenue, S.
Federal Way, Washington 98001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Gary S., Whidby
500 North Capitol Street, NW
Ste. 300
Washington, DC 20001
Title: PAC Manager
Phone # (202) 639-0754

Treasurer:

Lin David, Whatcott
32275 32nd Avenue, S.
Federal Way, Washington 98001
Title: Treasurer
Phone # (253) 733-4523

Designated Agent(s):

Ronald Alan Loewenherz
32275 32nd Avenue, S.
Federal Way, Washington 98001
Title: Assistant Treasurer
Phone # (253) 733-4650

Banks or Depositories

Wells Fargo Bank, NA
P.O. Box 63020
San Francisco, California 63020

Signed: Lin David, Whatcott
Date Signed: 04/02/2014
Official Committee URL: http://www.davitaadvocacy.com/

FORM TEXT

(End FEC FORM 1)

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