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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1244403

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1. ORTHOCAROLINA PA FEDERAL PAC

    4601 PARK ROAD SUITE 250
    CHARLOTTE, NC 28209
    Email: Robert.McBride@orthocarolina.com;Brent.Shear@orthocarolina.com

    NOTE: Email address is different than previously reported

2. Date: 07/12/2018

3. FEC Committee ID #: C00471508 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

OrthoCarolina, PA
4601 Park Road
Charlotte, North Carolina 28209
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Robert McBride
4601 Park Road
Charlotte, NC 28209
Title: President
Phone # (704) 323-2100

Treasurer:

Robert McBride
4601 Park Road
Charlotte, North Carolina 28209
Title: President
Phone # (704) 323-2100

Designated Agent(s):

Dr. Robert McBride, Jr.
4601 Park Road
Suite 250
Charlotte, North Carolina 28209

Banks or Depositories

Wells Fargo Bank
P. O. Box 63020
San Francisco, California 94163

Signed: Robert McBride
Date Signed: 07/12/2018

(End FEC FORM 1)

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