FEC Form 1 for HEALTH COACH PACForm 1 for HEALTH COACH PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1164437

1. HEALTH COACH PAC

22780 INDIAN CREEK DRIVE STE 100
DULLES, VA 20166
Email: jenniferL@morganmeredith.com

2. Date: 12/13/2016

3. FEC Committee ID #: C00630038 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

International Association for Health Coaches
1025 Connecticut Ave, NW Ste 1000
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

& Associates Morgan, Meredith
22780 Indian Creek Drive, STE 100
Dulles, VA 20166
Title: Custodian of Records
Phone # (703) 467-9341

Treasurer:

Todd Meredith
22780 Indian Creek Drive, STE 100
Dulles, Virginia 20166
Title: Treasurer
Phone # (703) 467-9341

Designated Agent(s):

Banks or Depositories

Access National Bank
4221 Walney Road
Chantilly, Virginia 20151

Signed: Todd Meredith
Date Signed: 05/31/2017

FORM TEXT-1

(End FEC FORM 1)

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