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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1691301

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1. Wake Emergency Physicians, PA PAC

    210 Towne Village Drive
    Cary, NC 27513
    Email: andrew.kristianson@weppa.org;kimberly.dasher@weppa.org

    NOTE: Email address is different than previously reported

2. Date: 02/27/2023

3. FEC Committee ID #: C00412841 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Wake Emergency Physicians, PA
210 Towne Village Drive
Cary, North Carolina 27513
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kimberly Dasher
210 Towne Village Drive
Cary, NC 27513
Title: Staff Accountant
Phone # (919) 859-3373

Treasurer:

Andrew Kristianson
210 Towne Village Drive
Cary, North Carolina 27513
Title: General Counsel
Phone # (919) 859-3373

Designated Agent(s):

Banks or Depositories

Truist
434 Fayetteville Street
Raleigh, North Carolina 27601

Signed: Andrew Kristianson
Date Signed: 02/27/2023

(End FEC FORM 1)

Generated Sat Jul 27 22:00:56 2024