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FEC Form 1 for Medicaid Health Plans of America Political Action CommitteeForm 1 for Medicaid Health Plans of America Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-990380


1. Medicaid Health Plans of America Political Action Committee

    1150 18th St NW
    Suite 1010
    Washington, DC 20036
    Email: mhpapac@electioncompliance.com,jmyers@mhpa.org

    NOTE: Email address is different than previously reported

2. Date: 01/30/2015

3. FEC Committee ID #: C00475426 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Custodian of Records:

PAC Outsourcing LLC
5845 Richmond Highway
Suite 820
Alexandria, VA 22303
Title: Custodian of Records
Phone # (703) 347-6551

Treasurer:

Jeff Myers
1150 18th St NW
Suite 1010
Washington, DC 20036
Title: President & CEO
Phone # (202) 857-5725

Designated Agent(s):

Banks or Depositories

Suntrust Bank
Box 305183
Nashville, Tennessee 372305183

Signed: Jeff Myers
Date Signed: 01/30/2015

(End FEC FORM 1)


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