FEC Form 1 for American Nurses Association PACForm 1 for American Nurses Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1243121

1. American Nurses Association PAC

8515 Georgia Avenue
Suite 400
Silver Spring, MD 20910
Email: erik.koeppen@ana.org;outsourcing@aristotle.com

NOTE: Email address is different than previously reported

2. Date: 07/10/2018

3. FEC Committee ID #: C00017525 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Nurses Association
8515 Georgia Ave
Ste 400
Silver Spring, Maryland 209103492
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Erik W. Koeppen
8515 Georgia Ave
Ste 400
Silver Spring, MD 209103492
Title: Custodian of Records
Phone # (301) 628-5051

Treasurer:

DR Edward Thomas Briggs
321 22nd Ave SE
St Petersburg, Florida 337053301
Title: Treasurer

Designated Agent(s):

Erik W. Koeppen
8515 Georgia Ave
Ste 400
Silver Spring, Maryland 209103492
Title: Custodian of Records
Phone # (301) 628-5051

Banks or Depositories

Bank of America
PO Box 2485
Spokane, Washington 99210

Signed: DR Edward Thomas Briggs
Date Signed: 07/10/2018
Official Committee URL: www.anapac.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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