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-1323373

1. NORTH CAROLINA GASTROENTEROLOGY PAC OF DIGESTIVE HEALTH SPECIALISTS

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

NOTE: Email address is different than previously reported

2. Date: 04/10/2019

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Stephanie Hall
2025 Frontis Plaza Blvd
Ste 200
Winston-Salem, NC 27103
Title: CFO
Phone # (336) 397-5264

Treasurer:

Stephanie Hall
2025 Frontis Plaza Blvd
Ste 200
Winston-Salem, North Carolina 27103
Title: CFO
Phone # (336) 397-5264

Designated Agent(s):

Banks or Depositories

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

Signed: Stephanie Hall
Date Signed: 04/10/2019

FORM TEXT-1

(End FEC FORM 1)

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