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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1744997

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1. PARTNERSHIP FOR MEDICAID HOME-BASED CARE PAC

    1090 Vermont Ave NW
    #430
    WASHINGTON, DC 20005
    Email: jim.melancon@aveanna.com

    NOTE: Email address is different than previously reported

2. Date: 01/10/2023

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:

James Melancon
400 Interstate North Parkway SE
Atlanta, GA 30339
Title: Treasurer
Phone # (305) 948-6429

Treasurer:

James Melancon
400 Interstate North Parkway SE
Atlanta, Georgia 30339
Title: Treasurer
Phone # (305) 948-6429

Designated Agent(s):

Banks or Depositories

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

Signed: James Melancon
Date Signed: 01/22/2024

(End FEC FORM 1)

Generated Thu Oct 3 17:52:43 2024