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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1206935

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1. BioScrip, Inc. Political Action Committee

    1600 Broadway, Suite 700
    Denver, CO 80202
    Email: bioscrippac@bioscrip.com;matthew.dexter@bioscrip.com

2. Date: 01/24/2018

3. FEC Committee ID #: C00668384 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

BioScrip, Inc.
1600 Broadway, Suite 700
Denver, Colorado 80202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Gerald Anthony Lopez
c/o BioScrip, Inc.
1600 Broadway, Suite 700
Denver, CO 80202
Phone # (720) 697-5165

Treasurer:

Gerald Anthony Lopez
c/o BioScrip, Inc.
1600 Broadway, Suite 700
Denver, Colorado 80202
Phone # (720) 697-5165

Designated Agent(s):

Kathryn Stalmack
c/o BioScrip, Inc.
1600 Broadway, Suite 700
Denver, Colorado 80202

Banks or Depositories

Colorado State Bank and Trust
1600 Broadway
Denver, Colorado 80202

Signed: Gerald Anthony Lopez
Date Signed: 02/02/2018

(End FEC FORM 1)

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