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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1608526

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1. Premier Inc. Employees' Civic Action Fund

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

    NOTE: Email address is different than previously reported

2. Date: 07/01/2022

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 Zubke
444 N Capitol St. NW
#625
Washington, DC 20001
Title: Ops Specialist

Treasurer:

Mr. John Knapp
444 N Capitol St NW
#625
Washington, DC 20001
Title: Vice President
Phone # (240) 839-0739

Designated Agent(s):

Carson D Zubke
444 N Capitol St NW
#625
Washington, DC 20001
Title: Ops Specialist

Banks or Depositories

Wells Fargo
444 N Capitol St NW
Washington, DC 20001

Signed: Mr. John Knapp
Date Signed: 07/01/2022

(End FEC FORM 1)

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