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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1301979

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1. BioScrip Inc. Political Action Committee

    1600 Broadway Suite 700
    Denver, CO 80202
    Email: fecinfo@pass1.com;bioscrippac@bioscrip.com

    NOTE: Email address is different than previously reported

2. Date: 12/21/2018

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:

John McMahon
1600 Broadway Suite 700
Denver, CO 80202
Title: Custodian of Records
Phone # (720) 687-5200

Treasurer:

John McMahon
1600 Broadway Suite 700
Denver, Colorado 80202
Title: Treasurer
Phone # (720) 687-5200

Designated Agent(s):

Kathryn Stalmack
1600 Broadway Suite 700
Denver, Colorado 80202
Title: Assistant Treasurer
Phone # (720) 697-5153

Banks or Depositories

Colorado State Bank and Trust
1600 Broadway
Denver, Colorado 80202

Signed: John McMahon
Date Signed: 12/21/2018

FORM TEXT-1

(End FEC FORM 1)

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