FEC Form 1 for Henry Ford Health System Government Affairs Services PACForm 1 for Henry Ford Health System Government Affairs Services PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1560228

1. Henry Ford Health System Government Affairs Services PAC

1414 East Maple Road
Troy, MI 480830441

NOTE: Address is different than previously reported

Email: outsourcing@aristotle.com

NOTE: Email address is different than previously reported

2. Date: 01/26/2022

3. FEC Committee ID #: C00552141 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

Henry Ford Health System Govt Affairs Services
One Ford Place
Detroit, Michigan 482023450
Affiliated Relationship Code: Connected Organization

Committee ID# C00410670
Health Alliance Plan PAC
2850 West Grand Boulevard
Detroit, Michigan 482022643
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Justin Phillips
205 Pennsylvania Ave SE
Washington, DC 200031164
Title: Custodian of Records
Phone # (202) 543-8345

Treasurer:

Robin Damschroder
3551 Hamlin Road
Auburn Hills, Michigan 483262852
Title: Treasurer
Phone # (248) 371-7268

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1560228

1. Henry Ford Health System Government Affairs Services PAC

NOTE: Address is different than previously reported

NOTE: Email address is different than previously reported

2. Date: 01/26/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Robin Damschroder
Date Signed: 01/27/2022

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1560228

1. Henry Ford Health System Government Affairs Services PAC

NOTE: Address is different than previously reported

NOTE: Email address is different than previously reported

2. Date: 01/26/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Robin Damschroder Date Signed: 01/27/2022 function popup1560228F13() { plain_window = window.open('/dcdev/fectxt/1560228F13.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Robin Damschroder
Date Signed: 01/27/2022

FORM TEXT-1