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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1367883

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1. Seniors For Affordable Healthcare PAC

    2163 US Highway 8
    Suite 100
    St Croix Falls, WI 54024
    Email: info@seniors4affordablehc.org

2. Date: 12/27/2019

3. FEC Committee ID #: C00732388

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr Luke Thompson
2163 US Highway 8, Suite 100
Seniors for Affordable Healthcare
St Croix Falls, WI 54024
Title: Treasurer
Phone # (715) 721-3004

Treasurer:

Mr Luke Thompson
2163 US Highway 8, Suite 100
Seniors for Affordable Healthcare
St Croix Falls, Wisconsin 54024
Title: Treasurer
Phone # (715) 721-3004

Designated Agent(s):

Mr Luke Thompson
2163 US Highway 8, Suite 100
Seniors for Affordable Healthcare
St Croix Falls, Wisconsin 54024
Title: Treasurer
Phone # (715) 721-3004

Banks or Depositories

Ally Bank
P.O. Box 380901
Bloomington, Minnesota 55438

Signed: Mr Luke Thompson
Date Signed: 12/27/2019
Official Committee URL: http://www.seniors4affordablehc.org

FORM TEXT-1

(End FEC FORM 1)

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