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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1199745

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1. MVP Health Care Inc. Federal PAC

    625 State Street
    Schenectady, NY 12305
    Email: jestey@mvphealthcare.com;pac@mvphealthcare.com

2. Date: 01/24/2018

3. FEC Committee ID #: C00431429 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

MVP Health Care Inc.
625 State Street
Schenectady, New York 12305
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jordan T Estey
37 Campus Club Drive
Guilderland, NY 12084
Title: Treasurer
Phone # (518) 388-2610

Treasurer:

Jordan T Estey
37 Campus Club Drive
Guilderland, New York 12084
Title: Treasurer
Phone # (518) 388-2610

Designated Agent(s):

Banks or Depositories

M&T Bank
1766 Union Street
Schectady, New York 12309

Signed: Jordan T Estey
Date Signed: 01/24/2018

(End FEC FORM 1)

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