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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1467265

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1. Health Carousel Political Action Committee (Health Carousel PAC)

    3805 Edwards Road
    Suite 700
    Cincinnati, OH 45209
    Email: amber.sprengard@healthcarousel.com;info@campaignfinancial.com

2. Date: 10/27/2020

3. FEC Committee ID #: C00761890 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Health Carousel
3805 Edwards Road
Suite 700
Cincinnati, Ohio 45209
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Financial Services Campaign
PO Box 30844
Bethesda, MD 20824
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Amber Sprengard
3805 Edwards Road
Suite 700
Cincinnati, Ohio 45209
Title: VP of Gov't Affairs
Phone # (513) 794-3828

Designated Agent(s):

Jonathan Kukulski
3805 Edwards Road
Suite 700
Cincinnati, Ohio 45209
Title: Designated Agent
Phone # (855) 665-4544

Banks or Depositories

Wells Fargo
8302 Woodmont Avenue
Bethesda, Maryland 20814

Signed: Amber Sprengard
Date Signed: 10/27/2020

(End FEC FORM 1)

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