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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1708932

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1. AccentCare Inc

    17855 North Dallas Parkway
    Suite 200
    Dallas, TX 75287
    Email: accentcarePAC@accentcare.com

2. Date: 06/26/2023

3. FEC Committee ID #: C00548248 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

AccentCare, Inc.
17855 North Dallas Parkway
Suite 200
Dallas, Texas 75287
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dena Schwartz-Doty
17855 North Dallas Parkway
Suite 200
Dallas, TX 75287
Title: Custodian of Records
Phone # (972) 201-3800

Treasurer:

James Mathias
17855 North Dallas Parkway
Suite 200
Dallas, Texas 75287
Title: Treasurer
Phone # (972) 201-3800

Designated Agent(s):

Banks or Depositories

Bank of America, N.A.
1655 Grant Street
Building A, 10th Floor
Concord, California 94520

Signed: James Mathias
Date Signed: 06/26/2023
Official Committee URL: N/A

FORM TEXT-1

(End FEC FORM 1)

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