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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1559704

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1. PARTNERSHIP FOR MEDICAID HOME-BASED CARE PAC

    1090 Vermont Ave NW
    #430
    WASHINGTON, DC 20005

    NOTE: Address is different than previously reported

    Email: sean@surfmed.com

    NOTE: Email address is different than previously reported

2. Date: 01/26/2022

3. FEC Committee ID #: C00637959 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Partnership for Medicaid Home-Based Care
1090 Vermont Ave NW
#430
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sean Schwinghammer
1090 Vermont Ave NW
#430
Washington, DC 20005
Title: Treasurer
Phone # (305) 948-6429

Treasurer:

Sean Schwinghammer
1090 Vermont Ave NW
#430
Washington, DC 20005
Title: Treasurer
Phone # (305) 948-6429

Designated Agent(s):

Banks or Depositories

PNC Bank
800 17th Street, NW
Washington, DC 20005

Signed: Sean Schwinghammer
Date Signed: 01/26/2022

(End FEC FORM 1)

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