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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1702786

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1. Physician-Led Healthcare for America Political Action Committee (PHA PAC)

    2001 K Street NW 3rd Floor North
    Washington, DC 20006
    Email: compliance@rightsidecompliance.com

2. Date: 04/02/2022

3. FEC Committee ID #: C00394163 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Physician-Led Healthcare for America
2001 K Street NW 3rd Floor North
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacie Monroe
2001 K Street NW 3rd Floor North
Washington, DC 20006
Title: Treasurer
Phone # (715) 338-8544

Treasurer:

Stacie Monroe
2001 K Street NW 3rd Floor North
Washington, DC 20006
Title: Treasurer
Phone # (715) 338-8544

Designated Agent(s):

Cabell Hobbs
2001 K Street NW 3rd Floor North
Washington, DC 20003
Title: Assistant Treasurer

Banks or Depositories

Chain Bridge Bank
1445A Laughlin Avenue
McLean, Virginia 22101

Signed: Stacie Monroe
Date Signed: 05/02/2023

(End FEC FORM 1)

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