FEC Form 1 for OSI SYSTEMS INC PAC OSI PACForm 1 for OSI SYSTEMS INC PAC OSI PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1030028

1. OSI SYSTEMS INC PAC OSI PAC

2900 CRYSTAL DRIVE
SUITE 910
ARLINGTON, VA 22202
Email: osi-pac@osi-systems.com;jking@osi-systems.com

NOTE: Email address is different than previously reported

2. Date: 10/19/2015

3. FEC Committee ID #: C00414896 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

OSI Systems Inc.
12525 Chadron Ave.
Hawthorne, California 90250
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James King
2900 Crystal Drive
Arlington, VA 22202
Title: Treasurer
Phone # (571) 227-6768

Treasurer:

James King
2900 Crystal Drive
Arlington, Virginia 22202
Title: Treasurer
Phone # (571) 227-6768

Designated Agent(s):

Stephen McHugh
1901 S. Bell Street
Arlington, Virginia 22202
Title: Assistant Treasurer
Phone # (571) 227-6788

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1030028

1. OSI SYSTEMS INC PAC OSI PAC

NOTE: Email address is different than previously reported

2. Date: 10/19/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: James King
Date Signed: 10/19/2015

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1030028

1. OSI SYSTEMS INC PAC OSI PAC

NOTE: Email address is different than previously reported

2. Date: 10/19/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: James King Date Signed: 10/19/2015

(End FEC FORM 1)

Signed: James King
Date Signed: 10/19/2015