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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1789696

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1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

    750 9th Street, NW
    Suite 650
    WASHINGTON, DC 20001
    Email: info@supplychainassociation.org;aboliver@supplychainassociation.org

    NOTE: Email address is different than previously reported

2. Date: 06/10/2024

3. FEC Committee ID #: C00423863 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Healthcare Supply Chain Association
750 9th Street, NW
Suite 650
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Angie Boliver
750 9th Street, NW
Suite 650
Washington, DC 20001
Title: Treasurer
Phone # (202) 629-5833

Treasurer:

Angie Boliver
750 9th Street, NW
Suite 650
Washington, DC 20001
Title: Treasurer
Phone # (202) 629-5833

Designated Agent(s):

Banks or Depositories

M&T Bank
1680 K St., NW
Washington, DC 20006

Signed: Angie Boliver
Date Signed: 06/17/2024

(End FEC FORM 1)

Generated Sat Aug 31 02:07:54 2024