FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1321951
1. EmergeOrtho P.A. Political Action Committee
120 William Penn PlazaDurham, 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 OrganizationAffiliated Committees/Organizations
EmergeOrtho PA120 William Penn Plz
Durham, North Carolina 27704
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Kenneth W Bergquist120 William Penn Plaza
Durham, NC 27704
Title: Treasurer
Phone # (919) 281-1810
Treasurer:
Kenneth W Bergquist120 William Penn Plaza
Durham, North Carolina 27704
Title: Treasurer
Phone # (919) 281-1810
Designated Agent(s):
George Sheasley120 William Penn Plaza
Durham, North Carolina 27704
Title: Asst Treasurer
Phone # (919) 281-1810
Banks or Depositories
First Citizens BankPO Box 27131
Raleigh, North Carolina 27611