FEC Form 1 for SPECTRUM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (SHS PAC)Form 1 for SPECTRUM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (SHS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-282087

1. SPECTRUM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (SHS PAC)

12647 OLIVE BLVD
Suite 600
ST LOUIS, MO 63141
Fax: 3147444181
Email: natalie_grosso@spectrumhealth.com

2. Date: 03/22/2006

3. FEC Committee ID #: C00327445 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Spectrum Healthcare Resources Inc.
12647 Olive Boulevard
Suite 600
St. Louis, Missouri 63141
Relationship: Connected Org
Organization Type: Corporation

Custodian of Records:

Natalie Marie Grosso, Esq.
12647 Olive Boulevard
Suite 600
St. Louis, MO 63141
Title: Contract Specialist
Phone # (314) 744-4265

Treasurer:

JoAnn Zintel
12647 Olive Boulevard
Suite 600
St. Louis, Missouri 63141
Title: Vice President
Phone # (314) 744-4105

Designated Agent(s):

Natalie Marie Grosso, Esq.
12647 Olive Boulevard
Suite 600
St. Louis, Missouri 63141
Title: Contract Specialist
Phone # (314) 744-4265

Banks or Depositories

US Bank
12688 Olive Boulevard
St. Louis, Missouri 63141

Signed: JoAnn Zintel
Date Signed: 03/22/2007
Official Committee FAX: 3147444181

(End FEC FORM 1)

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