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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1207672

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1. Numotion (United Seating & Mobility LLC) PAC

    1111 Cromwell Avenue
    Suite 61
    Rocky Hill, CT 06067
    Email: Sheila.King@numotion.com,slming@comerica.com

2. Date: 02/09/2018

3. FEC Committee ID #: C00582643 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

United Seating and Mobility LLC
1111 Cromwell Avenue
Suite 601
Rocky Hill, Connecticut 06067
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC2250
Detroit, MI 48275
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

Timothy Casey
1111 Cromwell Avenue
Suite 601
Rocky Hill, Connecticut 06067
Title: Gen Counsel & CCO
Phone # (680) 889-2775

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Timothy Casey
Date Signed: 02/09/2018

FORM TEXT-1

(End FEC FORM 1)

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