FEC Form 1 for DuPage Medical Group LTD PACForm 1 for DuPage Medical Group LTD PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1203143

1. DuPage Medical Group LTD PAC

1100 West 31ST Street
Suite 300
Downers Grove, IL 60515
Email: Henry.tobie@dupagemd.com

NOTE: Email address is different than previously reported

2. Date: 01/31/2018

3. FEC Committee ID #: C00435982 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

DuPage Medical Group LTD
1100 West 31ST Street
Suite 300
Downers Grove, Illinois 60515
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Aimee Nicole Steel
800 17th Street, NW
Suite 1100
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 828-1895

Treasurer:

Henry Tobie
1100 West 31ST Street
Suite 300
Downers Grove, Illinois 60515
Title: Treasurer
Phone # (630) 545-4047

Designated Agent(s):

Mike Pacetti
1100 West 31st Street
Suite 300
Downers Grove, Illinois 60515
Title: Assistant Treasurer
Phone # (630) 942-7917

Henry Tobie
1100 West 31ST Street
Suite 300
Downers Grove, Illinois 60515
Title: Treasurer
Phone # (630) 545-4047

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1203143

1. DuPage Medical Group LTD PAC

NOTE: Email address is different than previously reported

2. Date: 01/31/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Henry Tobie
Date Signed: 01/31/2018

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1203143

1. DuPage Medical Group LTD PAC

NOTE: Email address is different than previously reported

2. Date: 01/31/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Henry Tobie Date Signed: 01/31/2018

(End FEC FORM 1)

Signed: Henry Tobie
Date Signed: 01/31/2018