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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1526456

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1. Premier Inc. Employees' Civic Action Fund

    444 N Capitol St. NW
    S625
    Washington, DC, DC 20001
    Email: Soumi_Saha@premierinc.com

    NOTE: Email address is different than previously reported

2. Date: 07/15/2021

3. FEC Committee ID #: C00346288 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

Ms. Soumi Saha
444 N Capitol St. NW
S625
Washington, DC, DC 20001
Title: Vice President
Phone # (732) 266-5472

Designated Agent(s):

Carson D Zubke
444 N Capitol St. NW
S625
Washington, DC, DC 20001
Title: Ops Specialist

Banks or Depositories

Wells Fargo
444 N Capitol St. NW
Washington, DC, DC 20001

Signed: Ms. Soumi Saha
Date Signed: 07/15/2021

FORM TEXT-1

(End FEC FORM 1)

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