FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1402381
1. CHS/Community Health Systems, Inc. Political Action Cmte (CHS PAC)
4000 Meridian BlvdFranklin, TN 37067
Email: KIKapas@comerica.com
NOTE: Email address is different than previously reported
2. Date: 04/20/2020
3. FEC Committee ID #: C00485896 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
CHS/Community Health Systems, Inc.4000 Meridian Blvd
Franklin, Tennessee 37067
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Comerica Bank PAC ServicesP.O. Box 75000
MC 2250
Detroit, MI 482752250
Title: RecordKeeper
Phone # (248) 371-7270
Treasurer:
Benjamin C. Fordham4000 Meridian Blvd
Franklin, Tennessee 37067
Title: Treasurer
Phone # (615) 465-7371
Designated Agent(s):
Justin D. Pitt4000 Meridian Blvd
Franklin, Tennessee 37067
Title: Asst. Treasurer
Phone # (615) 465-7370
Banks or Depositories
Comerica BankP.O. Box 75000
Detroit, Michigan 482757544