FEC Form 1 for MAXIM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (MAXIM HEALTHCARE PAC)Form 1 for MAXIM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (MAXIM HEALTHCARE PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1388823

1. MAXIM HEALTHCARE SERVICES INC POLITICAL ACTION COMMITTEE (MAXIM HEALTHCARE PAC)

7227 Lee Deforest Drive
Columbia, MD 21046
Email: kfernand@maxhealth.com;maxim@venable.com

NOTE: Email address is different than previously reported

2. Date: 03/10/2020

3. FEC Committee ID #: C00558932 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Maxim Healthcare Services, Inc.
7227 Lee Deforest Drive
Columbia, Maryland 21046
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kirstyn Estes
7227 Lee Deforest Drive
Columbia, MD 21046
Title: Treasurer
Phone # (410) 910-1500

Treasurer:

Kirstyn Estes
7227 Lee Deforest Drive
Columbia, Maryland 21046
Title: Treasurer
Phone # (410) 910-1500

Designated Agent(s):

Banks or Depositories

Bank of America, N.A.
790 Broad Street
Newark, New Jersey 07102

Signed: Kirstyn Estes
Date Signed: 03/10/2020

(End FEC FORM 1)

Generated Fri Aug 30 17:36:28 2024