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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1558084

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1. Artivion, Inc. PAC

    NOTE:Commmittee Name is different than previously reported

    1655 Roberts Boulevard NW
    Kennesaw, GA 30144
    Email: info@artivion.com

    NOTE: Email address is different than previously reported

2. Date: 01/21/2022

3. FEC Committee ID #: C00386771 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Artivion, Inc.
1655 Roberts Boulevard NW
Kennesaw, Georgia 30144
Affiliated Relationship Code: Connected Organization

Custodian of Records:

D. Ashley Lee
1655 Roberts Boulevard NW
Kennesaw, GA 30144
Title: Treasurer
Phone # (678) 290-4328

Treasurer:

D. Ashley Lee
1655 Roberts Boulevard NW
Kennesaw, Georgia 30144
Title: Treasurer
Phone # (678) 290-4328

Designated Agent(s):

Amy Horton
1655 Roberts Boulevard NW
Kennesaw, Georgia 30144
Title: Assistant Treasurer
Phone # (678) 290-4353

Banks or Depositories

Wells Fargo
850 Barrett Parkway
Kennesaw, Georgia 30144

Signed: D. Ashley Lee
Date Signed: 01/21/2022

(End FEC FORM 1)

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