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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1420048

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1. MHA Federal Pac

    2625 Winne Ave
    Helena, MT 59601
    Email: Vickey.simonson@mtha.org,Connie.Dewey@mtha.org

    NOTE: Email address is different than previously reported

2. Date: 01/01/2020

3. FEC Committee ID #: C00238782 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Montana Hospital Association
2625 Winne Ave
Helena, Montana 59601
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Vickey Simonson
2625 Winne Ave
Helena, Montana 59601
Title: Business Office Mana
Phone # (406) 457-8007

Designated Agent(s):

Vickey Simonson
2625 Winne Ave
Helena, Montana 59601
Title: Business Office Mana
Phone # (406) 442-1911

Connie Dewey
2625 Winne Ave
Helena, Montana 59601
Title: Human Resource Manag
Phone # (406) 442-1911

Banks or Depositories

Stockman Bank
5 West Lyndale Ave
Helena, Montana 59601

Signed: Vickey Simonson
Date Signed: 01/01/2020

(End FEC FORM 1)

Generated Thu Dec 19 05:55:12 2024