FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-282141
1. CryoLife Inc. PAC
1655 Roberts Boulevard NWKennesaw, GA 30144
Fax: 2029557704
Email: info@cryolife.com
2. Date: 05/06/2003
3. FEC Committee ID #: C00386771 This committee is a Separate Segregated FundAffiliated Committees/Organizations
CryoLife Inc.1655 Roberts Blvd NW
Kennesaw, Georgia 30144
Relationship: Connected organization
Organization Type: Corporation
Custodian of Records:
D. Ashley Lee1655 Roberts Blvd. NW
Kennesaw, GA 30144
Title: Treasurer
Treasurer:
D. Ashley Lee1655 Roberts Boulevard NW
Kennesaw, Georgia 30144
Title: Treasurer
Phone # (678) 290-4328
Designated Agent(s):
Banks or Depositories
Wachovia850 Barrett Parkway Financial Cent
850 Barrett Parkway
Kennesaw, Georgia 30144
Signed: D. Ashley Lee
Date Signed: 03/23/2007
Official Committee FAX: 2029557704
FORM TEXT-1