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FEC Form 1 for EmergeOrtho P.A. Political Action CommitteeForm 1 for EmergeOrtho P.A. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1321951


1. EmergeOrtho P.A. Political Action Committee

    120 William Penn Plaza
    Durham, NC 27704
    Email: ken.bergquist@emergeortho.com;george.sheasley@emergeortho.com

    NOTE: Email address is different than previously reported

2. Date: 04/02/2019

3. FEC Committee ID #: C00418582 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

EmergeOrtho PA
120 William Penn Plz
Durham, North Carolina 27704
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kenneth W Bergquist
120 William Penn Plaza
Durham, NC 27704
Title: Treasurer
Phone # (919) 281-1810

Treasurer:

Kenneth W Bergquist
120 William Penn Plaza
Durham, North Carolina 27704
Title: Treasurer
Phone # (919) 281-1810

Designated Agent(s):

George Sheasley
120 William Penn Plaza
Durham, North Carolina 27704
Title: Asst Treasurer
Phone # (919) 281-1810

Banks or Depositories

First Citizens Bank
PO Box 27131
Raleigh, North Carolina 27611

Signed: Kenneth W Bergquist
Date Signed: 04/02/2019

(End FEC FORM 1)


Generated Wed Sep 18 14:10:17 2024