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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1673151

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1. Vita Inclinata Technologies, Incorporated Political Action Committee

    265 Interlocken Blvd
    100
    Broomfield, CO 80021

    NOTE: Address is different than previously reported

    Email: adriscoll@vitatech.co

    NOTE: 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 Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Vita Inclinata Technologies, Incorporated
295 Interlocken Blvd
100
Broomfield, Colorado 80021
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Derek Martin
295 Interlocken Blvd
100
Broomfield, CO 80021
Title: General Counsel

Treasurer:

Angela Driscoll
295 Interlocken Blvd
100
Broomfield, Colorado 80021
Title: SGR Director
Phone # (562) 370-7129

Designated Agent(s):

Banks or Depositories

PNC Bank
PO BOX 609
Pittsburgh, Pennsylvania 15230

Signed: Angela Driscoll
Date Signed: 12/21/2022

(End FEC FORM 1)

Generated Thu Aug 22 21:52:58 2024