FEC Form 1 for INDEPENDENT PHARMACY COOPERATIVE PAC ('IPC PAC')Form 1 for INDEPENDENT PHARMACY COOPERATIVE PAC ('IPC PAC')

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1318441

1. INDEPENDENT PHARMACY COOPERATIVE PAC ('IPC PAC')

1550 COLUMBUS STREET
SUN PRARIE, WI 53590
Email: chuck.benjamin@ipcrx.com;mark.kinney@ipcrx.com

2. Date: 03/06/2019

3. FEC Committee ID #: C00508309 This committee is a separate segregated fund. Its connected organization is a Cooperative
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

INDEPENDENT PHARMACY COOPERATIVE
1550 COLUMBUS STREET
SUN PRARIE, Wisconsin 53590
Affiliated Relationship Code: Connected Organization

Custodian of Records:

CHUCK BENJAMIN
1550 COLUMBUS STREET
SUN PRARIE, WI 53590
Title: TREASURER
Phone # (608) 825-4109

Treasurer:

CHUCK BENJAMIN
1550 COLUMBUS STREET
SUN PRARIE, Wisconsin 53590
Title: TREASURER
Phone # (608) 825-4109

Designated Agent(s):

Banks or Depositories

JPMORGAN CHASE
22 EAST MIFFLIN STREET
MADISON, Wisconsin 53703

Signed: CHUCK BENJAMIN
Date Signed: 03/06/2019
Official Committee URL: NONE

(End FEC FORM 1)

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