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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1027025

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1. Health PAC

    3956 Town Center Blvd
    Ste 457
    Orlando, FL 32837
    Email: info@feccomplianceinc.com

2. Date: 10/06/2015

3. FEC Committee ID #: C00588806

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Dr. Dena Marie Minning MD
3956 Town Center Blvd
Ste 457
Orlando, Florida 32837
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Dustin Andersen
PO Box 224
Catlett, VA 20119
Title: Treasurer

Treasurer:

Dustin Andersen
PO Box 224
Catlett, Virginia 20119
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Wells Fargo
3900 E Village Center Dr.
Orlando, Florida 32837

Signed: Dustin Andersen
Date Signed: 10/07/2015

(End FEC FORM 1)

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