FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1018760
1. eviCore healthcare PAC
NOTE:Commmittee Name is different than previously reported
400 Buckwalter Place BlvdBluffton, SC 29910
NOTE: Address is different than previously reported
Email: matthew.ness@medsolutions.com;philip.clark@medsolutions.com2. Date: 04/15/2015
3. FEC Committee ID #: C00547018 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
eviCore healthcare400 Buckwalter Place Blvd
Bluffton, South Carolina 29910
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Matthew Alan Ness209 Lauderdale Road
Nashville, TN 37205
Title: Gov't Affairs
Phone # (615) 517-0501
Treasurer:
Philip S. Clark173 Kenner Ave
Nashville, Tennessee 37205
Title: General Counsel
Phone # (615) 468-4362
Designated Agent(s):
Matthew Alan Ness209 Lauderdale Road
Nashville, Tennessee 37205
Title: Sr. Govt Affairs Rep
Banks or Depositories
Sun Trust Bank201 4th Ave North
Nashville, Tennessee 37219