FEC Form 1 for Dr. Baumlin for PAForm 1 for Dr. Baumlin for PA

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1507392

1. Dr. Baumlin for PA

3000 Chestnut St., P.O. Box 34567
Philadelphia, PA 19101
Email: rogerseb@ballardspahr.com;emily@drbaumlinforpa.com

2. Date: 04/02/2021

3. FEC Committee ID #: C00775247 This committee is a Principal Campaign Committee. Candidate: Dr. Kevin Baumlin
Party: Democratic Party
Office Sought: Senate
State is Pennsylvania in District: 00

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

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

Treasurer:

Matt Conklin
1903 Lombard Street
Philadelphia, Pennsylvania 19146
Title: Treasurer
Phone # (202) 661-2200

Designated Agent(s):

Banks or Depositories

UBS Financial Services, Inc.
1735 Market Street
36th Floor
Philadelphia, Pennsylvania 19103

Signed: Matt Conklin
Date Signed: 04/02/2021

(End FEC FORM 1)

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