FEC Form 1 for Maximus Inc Political Action Committee (MAXPAC)Form 1 for Maximus Inc Political Action Committee (MAXPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-988637

1. Maximus Inc Political Action Committee (MAXPAC)

1891 Metro Center Drive
Reston, VA 20190
Email: pamcorbett@maximus.com

2. Date: 01/29/2015

3. FEC Committee ID #: C00343707 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

MAXIMUS, Inc.
1891 Metro Center Drive
Reston, Virginia 20190
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Pam Corbett
1891 Metro Center Drive
Reston, VA 20190
Title: Assistant Treasurer
Phone # (703) 251-8500

Treasurer:

Dominic Corley
1891 Metro Center Drive
Reston, Virginia 20190
Title: Treasurer
Phone # (703) 251-8500

Designated Agent(s):

Banks or Depositories

SunTrust
PO Box 85024
Richmond, Virginia 232855024

Signed: Dominic Corley
Date Signed: 01/29/2015

(End FEC FORM 1)

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