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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-990379

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1. MAXIM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (MAXIM HEALTHCARE PAC)

    228 S Washington St
    Suite 115
    Alexandria, VA 22314

    NOTE: Address is different than previously reported

    Email: dsatterfield@hdafec.com

    NOTE: Email address is different than previously reported

2. Date: 01/30/2015

3. FEC Committee ID #: C00558932 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Maxim Healthcare Services, Inc.
7227 Lee Deforest Drive
Columbia, Maryland 21046
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David Satterfield
228 S Washington St
Suite 115
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 549-7705

Treasurer:

David Satterfield
228 S Washington St
Suite 115
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 549-7705

Designated Agent(s):

Andrew Friedell
7227 Lee Deforest Drive
Columbia, Maryland 21046
Title: Assistant Treasurer
Phone # (410) 910-1016

Toni-Jean Lisa
7227 Lee Deforest Drive
Columbia, Maryland 21046
Title: Assistant Treasurer
Phone # (410) 910-4960

Kris Frank
7227 Lee Deforest Drive
Columbia, Maryland 21046
Title: PAC Manager
Phone # (443) 860-5620

Chani Feldman
7227 Lee Deforest Drive
Columbia, Maryland 21046
Title: Assistant Treasurer
Phone # (443) 430-7530

Banks or Depositories

BB&T
300 S Washington St
Alexandria, Virginia 22314

Signed: David Satterfield
Date Signed: 01/30/2015
Official Committee URL: None

(End FEC FORM 1)

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