FEC Form 1 for American Renal Associates Holdings, Inc. Political Action Committee (a.k.a. American Renal PAC)Form 1 for American Renal Associates Holdings, Inc. Political Action Committee (a.k.a. American Renal PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1093724

1. American Renal Associates Holdings, Inc. Political Action Committee (a.k.a. American Renal PAC)

500 Cummings Center
Suite 6550
Beverly, MA 01915
Email: mcosta@americanrenal.com

2. Date: 08/12/2016

3. FEC Committee ID #: C00623819 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

American Renal Associates Holdings, Inc.
500 Cummings Center
Suite 6550
Beverly, Massachusetts 01915
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Jonathan Wilcox
500 Cummings Center
Suite 6550
Beverly, Massachusetts 01915
Title: Chief Financial Off.
Phone # (978) 922-3080

Designated Agent(s):

Jason Boucher
500 Cummings Center
Suite 6550
Beverly, Massachusetts 01915
Title: VP of Finance
Phone # (978) 922-3080

Banks or Depositories

Eastern Bank
195 Market Street
Lynn, Massachusetts 01901

Signed: Jonathan Wilcox
Date Signed: 08/12/2016
Official Committee URL: None

(End FEC FORM 1)

Generated Wed Aug 14 23:10:37 2024