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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1260215

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1. Soleo Health PAC

    11 Trafalgar Sq
    Ste 101
    Nashua, NH 03063
    Email: charper@soleohealth.com;jginzler@soleohealth.com

2. Date: 08/31/2018

3. FEC Committee ID #: C00686881 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Soleo Health Holdings, Inc.
11 Trafalgar Sq
Ste 101
Nashua, New Hampshire 03063
Affiliated Relationship Code: Connected Organization

Custodian of Records:

John Ginzler
11 Trafalgar Sq
Ste 101
Nashua, NH 03063
Title: Treasurer
Phone # (833) 765-3648

Treasurer:

John Ginzler
11 Trafalgar Sq
Ste 101
Nashua, New Hampshire 03063
Title: Treasurer
Phone # (833) 765-3648

Designated Agent(s):

Banks or Depositories

EagleBank
8245 Boone Blvd
1st Floor
Tysons Corner, Virginia 22182

Signed: John Ginzler
Date Signed: 09/06/2018

(End FEC FORM 1)

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