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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1514612

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1. KCI Holdings Inc. Political Action Committee aka KCI PAC

    936 Ridgebrook Rd
    Sparks, MD 21152
    Email: mklesher@wms-jen.com

2. Date: 04/28/2021

3. FEC Committee ID #: C00778019 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

KCI Holdings Inc.
936 Ridgebrook Rd
Sparks, Maryland 21152
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Meredith Lesher
1201 Pennsylvania Ave., NW
Suite 800
Washington, DC 20004
Phone # (202) 659-8201

Treasurer:

Christine Koski
936 Ridgebrook Rd
Sparks, ____ 21152
Title: Treasurer
Phone # (410) 316-7990

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Ave.
McLean, Virginia 22101

Signed: Christine Koski
Date Signed: 04/28/2021

(End FEC FORM 1)

Generated Wed Jul 17 14:03:20 2024