FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1705340
1. TIVITY HEALTH FEDERAL PAC
4031 Aspen Grove Drive, Suite 250FRANKLIN, TN 37067
NOTE: Address is different than previously reported
Email: Vicki.shepard@tivityhealth.com2. Date: 12/04/2022
3. FEC Committee ID #: C00411918 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Tivity Health4031 Aspen Grove Drive, Suite 250
Franklin, Tennessee 37067
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Wendy Gomez4031 Aspen Grove Drive, Suite 250
Franklin, TN 37067
Title: Procurement Coord.
Phone # (800) 869-5311
Treasurer:
Ryan Wagers4031 Aspen Grove Drive, Suite 250
Franklin, Tennessee 37067
Title: Chief Accounting Off
Phone # (800) 869-5311
Designated Agent(s):
Vicki Shepard14 Compton Trace
Nashville, Tennessee 37215
Title: VP-Govt/External Rel
Phone # (615) 614-4249
Banks or Depositories
TruistPO Box 200
Wilson, North Carolina 27894