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FEC Form 1 for Canopy Growth Employees Political ForumForm 1 for Canopy Growth Employees Political Forum

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1502897


1. Canopy Growth Employees Political Forum

    950 F Street NW
    Suite 1025
    Washington, DC 20004
    Email: pac@canopygrowth.com;david.culver@canopygrowth.com

2. Date: 03/04/2021

3. FEC Committee ID #: C00771592 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

Canopy Growth Corporation
35715 US Hwy 40, Suite D102
Evergreen, Colorado 80439
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Julie A Schrei
950 F Street NW
Suite 1025
Washington, DC 20004
Title: Custodian of Records
Phone # (571) 277-4526

Treasurer:

Mr. David Culver
950 F Street, NW
Suite 1025
Washington, DC 20004
Title: Treasurer
Phone # (202) 258-7004

Designated Agent(s):

Banks or Depositories

M&T Bank
180 South Clinton Ave
Suite 700
Rochester, New York 14604

Signed: Mr. David Culver
Date Signed: 03/04/2021

(End FEC FORM 1)


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