FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1573154
1. TRIWEST HEALTHCARE ALLIANCE CORP. PAC (TRIWEST ALLIANCE PAC)
15810 N. 28TH AVE.PHOENIX, AZ 85053
Email: zpacs@cox.net;pmackmer@triwest.com
2. Date: 03/09/2022
3. FEC Committee ID #: C00459743 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
TRIWEST HEALTHCARE ALLIANCE CORP.15810 N. 28TH AVENUE
PHOENIX, Arizona 85053
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Paul Mackmer15810 N. 28th Avenue
Phoenix, AZ 85053
Title: Custodian of Records
Phone # (602) 564-2010
Treasurer:
Robert Wolpert15810 N. 28th Avenue
Phoenix, Arizona 85053
Title: Treasurer
Phone # (703) 795-9703
Designated Agent(s):
Elizabeth Kinsley15810 N. 28th Avenue
Phoenix, Arizona 85053
Title: Assistant Treasurer
Phone # (602) 564-2120
Banks or Depositories
CAPITAL BANK2275 RESEARCH BLVD
SUITE 600
ROCKVILLE, Maryland 20850