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 CorporationIn 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 Rogers1909 K Street, NW
12th Floor
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 661-7639
Treasurer:
John Versaggi800 Albany Ave
Alexandria, Virginia 22302
Title: Treasurer
Phone # (202) 223-2907
Designated Agent(s):
Banks or Depositories
Bank of America888 17th Street, NW
Washington, DC 20006