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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1721102

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1. ROTHMAN INSTITUTE PAC

    925 CHESTNUT STREET
    PHILADELPHIA, PA 19107
    Email: Chad.Krueger@rothmanortho.com;adam@boninllaw.com

    NOTE: Email address is different than previously reported

2. Date: 08/07/2023

3. FEC Committee ID #: C00558700 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Rothman Institute
925 Chestnut Street
Philadelphia, Pennsylvania 19107
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chad Krueger
705 Kyle Lane
Ambler, PA 19002
Title: Treasurer
Phone # (210) 216-8538

Treasurer:

Chad Krueger
705 Kyle Lane
Ambler, Pennsylvania 19002
Title: Treasurer
Phone # (210) 216-8538

Designated Agent(s):

Banks or Depositories

Mellon Bank
1735 Market Street
Phila, Pennsylvania 19103

Signed: Chad Krueger
Date Signed: 08/07/2023

(End FEC FORM 1)

Generated Sun Jul 21 23:23:11 2024