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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1533664

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1. Premier Inc. Employees' Civic Action Fund

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

2. Date: 07/26/2021

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

Affiliated Committees/Organizations

Premier, Inc.
13034 Ballantyne Corporate Pl.
Charlotte, North Carolina 28277
Affiliated Relationship Code: Connected Organization

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

Carson D Zubke
444 N Capitol St NW
S625
Washington, DC 20001
Title: Ops Specialist
Phone # (605) 265-1434

Banks or Depositories

Wells Fargo
444 N Capitol St NW
Washington, DC 20001

Signed: Ms. Soumi Saha
Date Signed: 07/28/2021

(End FEC FORM 1)

Generated Sun Jun 30 06:45:19 2024