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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1252796

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1. Health PAC

    8815 Conroy Windermere Rd
    Ste 372
    Orlando, FL 32835
    Email: info@denaforcongress.com

2. Date: 07/25/2018

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

Candidate ID# H6FL09187
DENA MD, PHD GRAYSON
8815 CONROY-WINDERMERE RD
SUITE 372
ORLANDO, Florida 32835
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Star Grayson
8815 Conroy-Windermere Road
Suite 372
Orlando, FL 32835
Title: Custodian of Records

Treasurer:

Star Grayson
8815 Conroy-Windermere Road
Suite 372
Orlando, Florida 32835
Title: Treasurer

Designated Agent(s):

Banks or Depositories

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

Signed: Dena Grayson, MD, PhD
Date Signed: 07/25/2018

(End FEC FORM 1)

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