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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-410907


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

    16010 N. 28th Avenue
    Phoenix, AZ 85053
    Email: slming@comerica.com

2. Date: 04/03/2009

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
16010 N. 28th Avenue
Phoenix, Arizona 85053
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank, PAC Services
MC2250
P.O. Box 75000
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

William Cahill
16010 N. 28th Avenue
Phoenix, Arizona 85053
Title: Director, Washington
Phone # (202) 216-9684

Designated Agent(s):

Banks or Depositories

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

Signed: William Cahill
Date Signed: 04/03/2009

(End FEC FORM 1)


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