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FEC Form 1 for HMS Holdings Corp. Political Action Committee (HMS PAC)Form 1 for HMS Holdings Corp. Political Action Committee (HMS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-928429


1. HMS Holdings Corp. Political Action Committee (HMS PAC)

    360 Park Avenue South
    17th Floor
    New York, NY 10010

    NOTE: Address is different than previously reported

    Email: hmspac@hms.com

    NOTE: Email address is different than previously reported

2. Date: 05/27/2014

3. FEC Committee ID #: C00440453 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

HMS Holdings Corp.
360 Park Avenue South, 17th Floor
New York, New York 10010
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Joseph M. Donabauer
360 Park Ave. South
17th Floor
New York, NY 10010
Title: Custodian
Phone # (201) 857-5920

Treasurer:

Joseph M. Donabauer
360 Park Ave. South
17th Floor
New York, New York 10010
Title: Treasurer
Phone # (212) 857-5920

Designated Agent(s):

Joel Portice
5615 High Point Drive
Irving, Texas 75038
Title: Assistant Treasurer
Phone # (972) 916-2687

Banks or Depositories

JP Morgan Chase Bank, NA
1166 Avenue of the Americas
21 Fl
New York, New York 10038

Signed: Joseph M. Donabauer
Date Signed: 05/27/2014

(End FEC FORM 1)


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