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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1534277

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1. Sidecar Health Inc. Political Action Committee

    2381 Rosecrans Ave
    El Segundo, CA 90245
    Email: rogerseb@ballardspahr.com;asherry@sidecarhealth.com

2. Date: 08/10/2021

3. FEC Committee ID #: C00786764 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Sidecar Health, Inc.
2381 Rosecrans Ave
El Segundo, California 90245
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Emory Rogers
1909 K Street, NW
12th Floor
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 661-7639

Treasurer:

Andrea Sherry
2381 Rosecrans Ave
El Segundo, California 90245
Title: Treasurer
Phone # (716) 517-6457

Designated Agent(s):

Banks or Depositories

Bank of America
1801 K Street NW
Washington, DC 20006

Signed: Andrea Sherry
Date Signed: 08/10/2021

(End FEC FORM 1)

Generated Mon Oct 14 02:20:00 2024