FEC Form 1 for Select Medical Corporation PACForm 1 for Select Medical Corporation PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1486869

1. Select Medical Corporation PAC

4714 Gettysburg Road
Mechanicsburg, PA 17055
Email: wewalters@selectmedical.com,fecinfo@pass1.com

NOTE: Email address is different than previously reported

2. Date: 01/12/2021

3. FEC Committee ID #: C00546119 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

Committee ID# C00546119
Select Medical Corporation
4714 Gettysburg Road
Mechanicsburg, Pennsylvania 17055
Affiliated Relationship Code: Connected Organization

Custodian of Records:

William Walters
6756 Old McLean Village Dr Ste 300
McLean, VA 22101
Title: Custodian of Records
Phone # (202) 281-9897

Treasurer:

William Walters
6756 Old McLean Village Dr Ste 300
te 300
McLean, Virginia 22101
Title: Treasurer
Phone # (202) 281-9897

Designated Agent(s):

Banks or Depositories

Burke and Herbert Bank
100 S. Fairfax Street
Alexandria, Virginia 22314

Signed: William Walters
Date Signed: 01/12/2021

(End FEC FORM 1)

Generated Sat May 18 16:06:39 2024