FEC Form 1 for Community Health Systems Professional Services Corporation Political Action Cmte (CHS PAC)Form 1 for Community Health Systems Professional Services Corporation Political Action Cmte (CHS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-896962

1. Community Health Systems Professional Services Corporation Political Action Cmte (CHS PAC)

4000 Meridian Blvd
Franklin, TN 37067
Email: mkdempsey@comerica.com

NOTE: Email address is different than previously reported

2. Date: 12/10/2013

3. FEC Committee ID #: C00485896 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Community Health Systems Professional Services Corporation
4000 Meridian Blvd
Franklin, Tennessee 37067
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC 2250
Detroit, MI 482752250
Title: RecordKeeper
Phone # (248) 371-7270

Treasurer:

Rachel A. Seifert
4000 Meridian Blvd
Franklin, Tennessee 37067
Title: Treasurer
Phone # (615) 465-7349

Designated Agent(s):

Christopher G. Cobb
4000 Meridian Blvd
Franklin, Tennessee 37067
Title: Asst. Treasurer
Phone # (615) 465-7358

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 482752250

Signed: Rachel A. Seifert
Date Signed: 12/10/2013

FORM TEXT

(End FEC FORM 1)

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