FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1027817
1. Permobil, Inc. Federal Political Action Committee
NOTE:Commmittee Name is different than previously reported
300 Duke DriveLebanon, TN 37090
Email: chris.javillonar@permobil.com
2. Date: 08/12/2015
3. FEC Committee ID #: C00583229 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Permobil Inc300 Duke Drive
Lebanon, Tennessee 37090
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Christopher C Javillonar300 Duke Drive
Lebanon, TN 37090
Title: Treasurer
Phone # (800) 736-0925
Treasurer:
Christopher C Javillonar300 Duke Drive
Lebanon, Tennessee 37090
Title: Treasurer
Phone # (800) 736-0925
Designated Agent(s):
Banks or Depositories
Skandinaviska Enskilda Banken245 Park Avenue, 33rd Floor
New York, New York 10167