FEC Form 1 for LivaNova USA, Inc. Political Action Committee (LivaNova PAC)Form 1 for LivaNova USA, Inc. Political Action Committee (LivaNova PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1364476

1. LivaNova USA, Inc. Political Action Committee (LivaNova PAC)

100 Cyberonics Blvd.
Houston, TX 77058
Email: rogerseb@ballardspahr.com;John.Versaggi@LivaNova.com

NOTE: Email address is different than previously reported

2. Date: 11/21/2019

3. FEC Committee ID #: C00634295 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

LivaNova USA, Inc.
100 Cyberonics Blvd.
Houston, Texas 77058
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Emory Rogers
1909 K Street, NW
12th Floor
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 661-7639

Treasurer:

John Versaggi
800 Albany Ave
Alexandria, Virginia 22302
Title: Treasurer
Phone # (202) 223-2907

Designated Agent(s):

Banks or Depositories

Bank of America
888 17th Street, NW
Washington, DC 20006

Signed: John Versaggi
Date Signed: 11/21/2019

(End FEC FORM 1)

Generated Sun Aug 18 11:53:15 2024