FEC Form 1 for NORTH CAROLINA GASTROENTEROLOGY PAC OF DIGESTIVE HEALTH SPECIALISTSForm 1 for NORTH CAROLINA GASTROENTEROLOGY PAC OF DIGESTIVE HEALTH SPECIALISTS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1175907

1. NORTH CAROLINA GASTROENTEROLOGY PAC OF DIGESTIVE HEALTH SPECIALISTS

2025 FRONTIS PLAZA BLVD SUITE 200
WINSTON SALEM, NC 27103
Email: jackiet@digestivehealth.ws

NOTE: Email address is different than previously reported

2. Date: 07/28/2017

3. FEC Committee ID #: C00503201 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jacquelyn Tillinger
2025 Frontis Plaza Blvd
Ste 200
Winston-Salem, NC 27103
Title: CEO
Phone # (336) 768-6211

Treasurer:

Jacquelyn Tillinger
2025 Frontis Plaza Blvd
Ste 200
Winston-Salem, North Carolina 27103
Title: CEO
Phone # (336) 768-6211

Designated Agent(s):

Banks or Depositories

First Citizens Bank
3100 Trenwest Dr
Winston-Salem, North Carolina 27103

Signed: Jacquelyn Tillinger
Date Signed: 07/28/2017

FORM TEXT-1

(End FEC FORM 1)

Generated Fri Oct 11 06:11:35 2024