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      <secFileNumber>001-32749</secFileNumber>
      <issuerAddress>
        <com:street1>ELSE-KROENER STRASSE 1</com:street1>
        <com:city>BAD HOMBURG</com:city>
        <com:stateOrCountry>2M</com:stateOrCountry>
        <com:zipCode>61352</com:zipCode>
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      <issuerContactPhone>011-49-6172-6090</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>CLASSON ROLF A</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Director</relationshipToIssuer>
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    <securitiesInformation>
      <securitiesClassTitle>common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Wells Fargo Clearing Services</name>
        <address>
          <com:street1>1 North Jefferson Avenue</com:street1>
          <com:city>St. Louis</com:city>
          <com:stateOrCountry>MO</com:stateOrCountry>
          <com:zipCode>63103</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>5714</noOfUnitsSold>
      <aggregateMarketValue>119229.09</aggregateMarketValue>
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      <approxSaleDate>12/20/2023</approxSaleDate>
      <securitiesExchangeName>NYSE</securitiesExchangeName>
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      <paymentDate>02/13/2012</paymentDate>
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    <noticeSignature>
      <noticeDate>12/20/2023</noticeDate>
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144
0001030325
XXXXXXXX
LIVE
0001333141
Fresenius Medical Care AG
001-32749
ELSE-KROENER STRASSE 1
BAD HOMBURG
2M
61352
011-49-6172-6090
CLASSON ROLF A
Director
common
Wells Fargo Clearing Services
1 North Jefferson Avenue
St. Louis
MO
63103
5714
119229.09
586083000
12/20/2023
NYSE
common
02/13/2012
Open Market purchase
open market
N
5714
02/13/2012
cash
Y
12/20/2023
Rolf A Classon