FEC Form 1 for CHS/Community Health Systems, Inc. Political Action Cmte (CHS PAC)Form 1 for CHS/Community Health Systems, Inc. Political Action Cmte (CHS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1567676

1. CHS/Community Health Systems, Inc. Political Action Cmte (CHS PAC)

4000 Meridian Blvd
Franklin, TN 37067
Email: fecinfo@pass1.com

NOTE: Email address is different than previously reported

2. Date: 02/07/2022

3. FEC Committee ID #: C00485896 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

CHS/Community Health Systems, Inc.
4000 Meridian Blvd
Franklin, Tennessee 37067
Affiliated Relationship Code: Connected Organization

Custodian of Records:

PAC AGENT PASS, INC
1950 Roland Clarke Pl, Suite 300
Reston, VA 20191
Title: Custodian of Records

Treasurer:

Benjamin C Fordham
4000 Meridian Blvd
Franklin, Tennessee 37067
Title: Treasurer
Phone # (615) 465-7371

Designated Agent(s):

Justin D Pitt
4000 Meridian Blvd
Franklin, Tennessee 37067
Title: Assistant Treasurer
Phone # (615) 465-7370

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Benjamin C Fordham
Date Signed: 02/07/2022
Official Committee URL: None

FORM TEXT-1

(End FEC FORM 1)

Generated Wed Aug 7 04:44:13 2024