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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1785937

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1. VILLAGEMD PAC

    1 Diamond Hill Road
    Berkeley Heights, NJ 07922

    NOTE: Address is different than previously reported

    Email: gjacobs@villagemd.com;amy@brs-dc.com

2. Date: 05/24/2024

3. FEC Committee ID #: C00743344 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00743344
VILLAGEMD PAC
1 Diamond Hill Road
Berkeley Heights, New Jersey 07922
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Gary Jacobs
1 Diamond Hill Road
Berkeley Heights, NJ 07922
Title: President
Phone # (312) 465-7900

Treasurer:

Richard Rubino
1 Diamond Hill Road
Berkeley Heights, New Jersey 07922
Title: CFO
Phone # (908) 273-4300

Designated Agent(s):

Ross Levine
1 Diamond Hill Road
Berkeley, New Jersey 07922
Title: CFO
Phone # (908) 273-4300

Banks or Depositories

Comerica Bank
226 Airport Parkway
San Jose, California 95110

Signed: Richard Rubino
Date Signed: 05/24/2024

(End FEC FORM 1)

Generated Sat Aug 31 10:51:24 2024