FEC Disclosure Form 1M for Welch Allyn, Inc. Federal PACForm 1M for Welch Allyn, Inc. Federal PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-984415

1. Welch Allyn, Inc. Federal PAC

4341 State Street Road
Skaneateles Falls, NY 13153

2. FEC Committee ID #: C00363150

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)	ANN MARIE BUERKLE	House of Representatives	New York/24	08/01/2012
(ii)	KIRSTEN ELIZABETH GILLIBRAND	Senate	New York/00	10/20/2011
(iii)	DAVID WU	House of Representatives	Oregon/01	10/26/2010
(iv)	Bill BILL OWENS FOR CONGRESS		____/	05/25/2010
(v)	PAUL DAVID TONKO	House of Representatives	New York/21	05/25/2010

(b) Contributors: The committee received a contribution from its 51st contributor on: 01/19/2015

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 10/26/2000

(d) Qualification: The committee met the above requirements on: 01/19/2015

Treasurer: Sarah Cates
Date Signed: 01/20/2015

(End FEC FORM 1M)

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