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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1706465

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1. Vannevar Labs, Inc. PAC

    855 El Camino Real
    STE 13A 205
    Palo Alto, CA 94301
    Email: gary@gallantlawgroup.com;jasonschmid@vannevarlabs.com

2. Date: 06/05/2023

3. FEC Committee ID #: C00842021 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

Vannevar Labs, Inc.
855 El Camino Real
STE 13A 205
Palo Alto, California 94301
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Gary Gallant
105 Lakeview Drive
Annapolis, MD 21403
Title: Counsel
Phone # (202) 492-3636

Treasurer:

Mr. Jason Schmid
855 El Camino Real
STE 13A 205
Palo Alto, California 94301
Title: Public Policy
Phone # (571) 314-5621

Designated Agent(s):

Mr. Gary Gallant
105 Lakeview Drive
Annapolis, Maryland 21403
Title: Counsel
Phone # (202) 492-3636

Banks or Depositories

JP Morgan Chase
270 Park Avenue
New York, New York 10017

Signed: Mr. Jason Schmid
Date Signed: 06/05/2023

(End FEC FORM 1)

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