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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1859426

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1. BELL AMBULANCE, INC. EMPLOYEES PAC

    549 E. WILSON STREET
    MILWAUKEE, WI 53207
    Email: BellPAC@264Bell.com

2. Date: 12/07/2024

3. FEC Committee ID #: C00693390 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

BELL AMBULANCE, INC.
549 E WILSON ST
MILWAUKEE, Wisconsin 53207
Affiliated Relationship Code: Connected Organization

Custodian of Records:

WAYNE A JURECKI
1111 N MARSHALL ST
UNIT 1002
MILWAUKEE, WI 532023380
Title: Vice President
Phone # (414) 486-4042

Treasurer:

WAYNE A JURECKI
1111 N MARSHALL ST
UNIT 1002
MILWAUKEE, Wisconsin 532023380
Title: Vice President
Phone # (414) 486-4042

Designated Agent(s):

WAYNE A JURECKI
1111 N MARSHALL ST
UNIT 1002
MILWAUKEE, Wisconsin 532023380
Title: Vice President
Phone # (414) 486-4042

Banks or Depositories

Live Oak Bank
1757 Tiburon Drive
Wilmington, North Carolina 28403

Signed: WAYNE A JURECKI
Date Signed: 12/07/2024

(End FEC FORM 1)

Generated Thu Dec 19 04:38:21 2024