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FEC Form 1 for TriWest Healthcare Alliance Corp. PAC (TriWest Alliance PAC)Form 1 for TriWest Healthcare Alliance Corp. PAC (TriWest Alliance PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1363443


1. TriWest Healthcare Alliance Corp. PAC (TriWest Alliance PAC)

    15810 N. 28th Ave.
    Phoenix, AZ 85053
    Email: mabrill@comerica.com

    NOTE: Email address is different than previously reported

2. Date: 11/19/2019

3. FEC Committee ID #: C00459743 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

TriWest Healthcare Alliance
15810 N. 28th Ave.
Phoenix, Arizona 85053
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
PO Box 75000
MC 2250
Detroit, MI 482752250
Title: Bookeeper
Phone # (734) 632-5912

Treasurer:

Elizabeth Kinsley
15810 N. 28th Ave
Phoenix, Arizona 85053
Title: Treasurer
Phone # (602) 564-2120

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Elizabeth Kinsley
Date Signed: 11/19/2019

FORM TEXT-1

(End FEC FORM 1)


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