FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1304410
1. MERIT MEDICAL SYSTEMS INC EMPLOYEE GOOD GOVERNANCE PAC
1600 WEST MERIT PARKWAYSOUTH JORDAN, UT 84095
Email: micropac@micropac.net;gfredde@merit.com
NOTE: Email address is different than previously reported
2. Date: 01/14/2019
3. FEC Committee ID #: C00475343 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
MERIT MEDICAL SYSTEMS INC1600 WEST MERIT PARKWAY
SOUTH JORDAN, Utah 84095
Affiliated Relationship Code: Connected Organization
Custodian of Records:
BILL DONELSONPO BOX 24553
NASHVILLE, TN 37202
Title: CUSTODIAN OF RECORDS
Phone # (615) 491-2140
Treasurer:
GREG FREDDE1600 WEST MERIT PARKWAY
SOUTH JORDAN, Utah 84095
Title: TREASURER
Phone # (801) 208-4262
Designated Agent(s):
ERIN BARRY1600 WEST MERIT PARKWAY
SOUTH JORDAN, Utah 84095
Title: DESIGNATED AGENT
Phone # (801) 316-3861
Banks or Depositories
WELLS FARGO BANK NAPO BOX 63020
SAN FRANCISCO, California 94163