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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-442424


1. American Nurses Association PAC

    8515 Georgia Avenue
    Suite 400
    Silver Spring, MD 209103492
    Email: Angela.Song@ana.org

2. Date: 12/17/2009

3. FEC Committee ID #: C00017525 This committee is a separate segregated fund. Its connected organization is a Labor Organization
     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:

Angela Song
8515 Georgia Ave #400
Silver Spring, MD 209103492
Title: Custodian of Records

Treasurer:

Donna M. Policastro
293 Whitford Ave
Providence, Rhode Island 029083354
Title: Treasurer
Phone # (401) 272-7950

Designated Agent(s):

Rose Gonzalez
8515 Georgia Ave #400
Silver Spring, Maryland 209103492
Title: Designated Agent

Banks or Depositories

Bank of America
PO Box 2485
Spokane, Washington 99210

Signed: Donna Policastro
Date Signed: 12/17/2009

(End FEC FORM 1)


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