FEC Form 1 for Owens & Minor, Inc. Political Action Committee (Owens & Minor PAC)Form 1 for Owens & Minor, Inc. Political Action Committee (Owens & Minor PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1577330

1. Owens & Minor, Inc. Political Action Committee (Owens & Minor PAC)

9120 Lockwood Boulevard
Mechanicsville, VA 23116
Email: PAC@owens-minor.com,lisa.tignor@us.dlapiper.com

2. Date: 03/31/2022

3. FEC Committee ID #: C00769810 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

Owens & Minor, Inc.
9120 Lockwood Boulevard
Mechanicsville, Virginia 23116
Affiliated Relationship Code: Connected Organization

Apria Healthcare LLC Political Action
7353 Company Drive
Indianapolis, Indiana 46237
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Faith Cristol
9120 Lockwood Boulevard
Mechanicsville, VA 23116
Title: Custodian of Records
Phone # (804) 723-7000

Treasurer:

Jonathan A. Leon
9120 Lockwood Boulevard
Mechanicsville, Virginia 23116
Title: Treasurer
Phone # (804) 723-7000

Designated Agent(s):

Michael Lowry
9120 Lockwood Boulevard
Mechanicsville, Virginia 23116
Title: Assistant Treasurer
Phone # (804) 723-7000

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1577330

1. Owens & Minor, Inc. Political Action Committee (Owens & Minor PAC)

2. Date: 03/31/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Jonathan A. Leon
Date Signed: 03/31/2022

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1577330

1. Owens & Minor, Inc. Political Action Committee (Owens & Minor PAC)

2. Date: 03/31/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Jonathan A. Leon Date Signed: 03/31/2022

(End FEC FORM 1)

Signed: Jonathan A. Leon
Date Signed: 03/31/2022