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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1315109

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1. Intalere, Inc. Political Action Committee

    2 CityPlace Drive, Suite 400
    St. Louis, MO 63141
    Email: steve.schoch@intalere.com;christal.bowen@intalere.com

    NOTE: Email address is different than previously reported

2. Date: 01/15/2019

3. FEC Committee ID #: C00491555 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Intalere, Inc.
2 CityPlace Drive
Suite 400
St. Louis, Missouri 63141
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Christal Bowen
2 CityPlace Drive
Suite 400
St. Louis, MO 63141
Title: Executive Assistant
Phone # (314) 542-1986

Treasurer:

Steve Schoch
2 CityPlace Drive
Suite 400
St. Louis, Missouri 63141
Title: CFO
Phone # (314) 542-1922

Designated Agent(s):

Steve Schoch
2 CityPlace Drive
Suite 400
St. Louis, Missouri 63141
Title: CFO
Phone # (314) 542-1922

Banks or Depositories

BMO Harris Bank N.A.
13205 Manchester Road
St. Louis, Missouri 63131

Signed: Steve Schoch
Date Signed: 01/15/2019

(End FEC FORM 1)

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