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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-870918

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1. MEDNAX, INC. FEDERAL POLITICAL ACTION COMMITTEE

    1301 Concord Terrace
    Sunrise, FL 33323
    Email: Karen_Witte@pediatrix.com;outsourcing@aristotle.com

2. Date: 05/15/2013

3. FEC Committee ID #: C00469205 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Mednax, Inc
1301 Concord Ter
Sunrise, Florida 333232843
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Karen S Witte
1301 Concord Terrace
Sunrise, FL 333230000
Title: Custodian of Records
Phone # (954) 753-3908

Treasurer:

Karen S Witte
1301 Concord Terrace
Sunrise, Florida 333230000
Title: Treasurer
Phone # (954) 753-3908

Designated Agent(s):

Karen S Witte
1301 Concord Terrace
Sunrise, Florida 333230000
Title: Designated Agent
Phone # (954) 753-3908

Banks or Depositories

Bank of America
600 Peachtree Street
Atlanta, Georgia 30308

Signed: Karen S Witte
Date Signed: 05/15/2013

FORM TEXT

(End FEC FORM 1)

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