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FEC Form 1 for NeighborCare Pharmacy Services Inc. Politcal Action CommitteeForm 1 for NeighborCare Pharmacy Services Inc. Politcal Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-138265


1. NeighborCare Pharmacy Services Inc. Politcal Action Committee

    601 East Pratt Street
    Baltimore, MD 212026000
    Fax: 4105287447
    Email: rich.hunt@neighborcare.com

2. Date: 10/13/2004

3. FEC Committee ID #: C00392886 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

NeighborCare Pharmacy Services Inc.
601 E. Pratt Street
Baltimore, Maryland 21202
Relationship: Connected
Organization Type: Corporation

Custodian of Records:


Treasurer:

Mr. Richard Hunt
601 E. Pratt Street
Baltimore, Maryland 21202
Title: CFO/Treasurer
Phone # (410) 528-7419

Designated Agent(s):

Banks or Depositories

Mellon Financial
500 Ross Street
Pittsburgh, Pennsylvania 152620001

Signed: Mr. Richard Hunt
Date Signed: 10/13/2004
Official Committee FAX: 4105287447

(End FEC FORM 1)


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