FEC Form 1 for HEALTH MANAGEMENT ASSOCIATES INC FED PAC LLCForm 1 for HEALTH MANAGEMENT ASSOCIATES INC FED PAC LLC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-914686

1. HEALTH MANAGEMENT ASSOCIATES INC FED PAC LLC

5811 PELICAN BAY BLVD SUITE 500
NAPLES, FL 34108
Email: joe.meek@hma.com;adawson@kraftcpas.com

2. Date: 04/02/2014

3. FEC Committee ID #: C00442418 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00485896
COMMUNITY HEALTH SYSTEMS PROFESSIONAL SERVICES CORPORATION POLITICAL ACTION CMTE (CHS PAC)
4000 MERIDIAN BLVD
FRANKLIN, Tennessee 37067
Affiliated Relationship Code: Affiliated Committee

Health Management Associates, Inc.
5811 Pelican Bay Blvd
Suite 500
Naples, Florida 34108
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Joseph Meek
5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108
Title: VP & Treasurer
Phone # (239) 598-3131

Treasurer:

Joseph Meek
5811 Pelican Bay Blvd
Suite 500
Naples, Florida 34108
Title: VP & Treasurer
Phone # (239) 598-3131

Designated Agent(s):

Gary Bryant
5811 Pelican Bay Blvd
Suite 500
Naples, Florida 34108
Title: Corporate Controller
Phone # (239) 598-3131

Banks or Depositories

Wells Fargo (formerly Wachovia)
5801 Pelican Bay Blvd
#100
Naples, Florida 34108

Signed: Joseph Meek
Date Signed: 04/02/2014

(End FEC FORM 1)

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