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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-893549

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1. Medical Device Manufacturers Association PAC

    P.O. Box 34591
    Washington, DC 20043
    Email: jrhill@comerica.com

    NOTE: Email address is different than previously reported

2. Date: 10/23/2013

3. FEC Committee ID #: C00484162 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Medical Device Manufacturers Association
1350 I Street, NW
Suite 540
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank
PAC Services
P.O. Box 75000, MC 2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-6515

Treasurer:

Thomas Novelli
P.O. Box 34591
Washington, DC 20043
Title: PAC Treasurer
Phone # (248) 371-6515

Designated Agent(s):

Mark Leahy
1350 I Street, NW
Suite 540
Washington, DC 20005
Title: PAC Asst Treasurer
Phone # (202) 354-7171

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 482752250

Signed: Thomas Novelli
Date Signed: 10/23/2013

FORM TEXT

(End FEC FORM 1)

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