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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1727723

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1. Urgent Care Association Political Action Committee

    1911 W. Wilson Street
    Suite A437
    Batavia, IL 60510

    NOTE: Address is different than previously reported

    Email: jkulin@urgentcarenownj.com;lhorwitz@urgentcareassociation.org

    NOTE: Email address is different than previously reported

2. Date: 10/04/2023

3. FEC Committee ID #: C00689844 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Urgent Care Association
1911 W. Wilson Street
Suite A437
Batavia, Illinois 60510
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mrs. Lou Ellen Horwitz
1911 W. Wilson St
Suite A437
Batavia, IL 60510
Title: CEO
Phone # (630) 657-6112

Treasurer:

Mrs. Lou Ellen Horwitz
1911 W. Wilson St
Suite A437
Batavia, Illinois 60510
Title: CEO
Phone # (630) 657-6112

Designated Agent(s):

Lou Ellen Horwitz
1911 W. Wilson St
Suite A437
Batavia, Illinois 60510
Phone # (630) 657-6112

Banks or Depositories

Hinsdale Bank & Trust
25 East First Street
Hinsdale, Illinois 60521

Signed: Mrs. Lou Ellen Horwitz
Date Signed: 10/04/2023
Official Committee URL: https://urgentcareassociation.org/advocacy/urgent-care-pac/

NOTE: URL is different than previously reported

(End FEC FORM 1)

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