FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-743177
1. American Nurses Association PAC
8515 Georgia AvenueSuite 400
Silver Spring, MD 20910
Email: Angela.Song@ana.org
2. Date: 08/25/2011
3. FEC Committee ID #: C00017525 This committee is a separate segregated fund. Its connected organization is a Labor OrganizationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
American Nurses Association8515 Georgia Ave
Ste 400
Silver Spring, Maryland 209103492
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Angela Song8515 Georgia Ave #400
Silver Spring, MD 209103492
Title: Custodian of Records
Phone # (301) 628-5096
Treasurer:
Jennifer Davis3511 Hastings Dr
Medina, Ohio 442566208
Title: Treasurer
Phone # (330) 294-0709
Designated Agent(s):
Rose Gonzalez8515 Georgia Ave #400
Silver Spring, Maryland 209103492
Title: Designated Agent
Phone # (301) 628-5096
Banks or Depositories
Bank of AmericaPO Box 2485
Spokane, Washington 99210