FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1673151
1. Vita Inclinata Technologies, Incorporated Political Action Committee
265 Interlocken Blvd100
Broomfield, CO 80021
NOTE: Address is different than previously reported
Email: adriscoll@vitatech.coNOTE: Email address is different than previously reported
2. Date: 12/21/2022
3. FEC Committee ID #: C00766998 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Vita Inclinata Technologies, Incorporated295 Interlocken Blvd
100
Broomfield, Colorado 80021
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Derek Martin295 Interlocken Blvd
100
Broomfield, CO 80021
Title: General Counsel
Treasurer:
Angela Driscoll295 Interlocken Blvd
100
Broomfield, Colorado 80021
Title: SGR Director
Phone # (562) 370-7129
Designated Agent(s):
Banks or Depositories
PNC BankPO BOX 609
Pittsburgh, Pennsylvania 15230