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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-120122


1. American Hospital Association PAC

    325 Seventh Street NW
    Suite 700
    Washington, DC 20004
    Fax: 202-686-2332
    Email: shiggins@aha.org

2. Date: 05/18/2004

3. FEC Committee ID #: C00106146 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

California Healthcare Association PAC-Federal
1215 K Street
Suite 800
Sacramento, California 95814
Relationship: Affiliated Committee
Organization Type: Trade Association

AzHHA Political Action Committee
2901 North Central Avenue
Suite 900
Phoeniz, Arizona 85012
Relationship: Affiliated Committee
Organization Type: Trade Association

PAC of the Missouri Hospital Associati
4712 COUNTRY CLUB
PO BOX 60
JEFFERSON CITY, Missouri 65102
Relationship: Affiliated Committee
Organization Type: Trade Association

Montana Hospital Association PAC - Fed
PO Box 1519
Helena, Montana 59604
Relationship: Affiliated Committee
Organization Type: Trade Association

North Carolina Hospital Association PA
PO Box 4449
Cary, North Carolina 27519
Organization Type: Trade Association

American Hospital Association
325 Seventh Street NW
Suite 700
Washington, DC 20004
Relationship: Connected Organization
Organization Type: Trade Association

HOSPITAL AND HEALTHSYSTEM ASSOCIATION
Post Office Box 8600
Harrisburg, Pennsylvania 17105
Relationship: Affiliated Committee
Organization Type: Trade Association

HOSPAC-FEDERAL. THE FEDERAL POLITICAL
P. O. Box 15587
Austin, Texas 78748
Relationship: Affiliated Committee
Organization Type: Trade Association

HOSPITAL ASSN OF HAWAII POLITICAL ACTI
932 WARD AVENUE
SUITE #430
HONOLULU, Hawaii 96814
Relationship: Affiliated Committee
Organization Type: Trade Association

NEW YORK STATE HOSPITAL AND HEALTHCARE
ONE EMPIRE DRIVE
RENSSELAER, New York 12144
Relationship: Affiliated Committee
Organization Type: Trade Association

WISCONSIN HEALTH
5721 ODANA ROAD
PO BOX 44992
MADISON, Wisconsin 53744
Relationship: Affiliated Committee
Organization Type: Trade Association

Custodian of Records:

Ms. Stefanie Scott
325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Associate Director
Phone # (202) 626-2968

Treasurer:

Ms. Melinda Hatton
325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Vice President & Chi
Phone # (202) 626-2336

Designated Agent(s):

Mark Seklecki
325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Director Political
Phone # (202) 626-2341

Banks or Depositories

Citibank FSB
PO Box 19748
Washington, DC 20036

Signed: Ms. Melinda Hatton
Date Signed: 05/18/2004
Official Committee FAX: 202-686-2332


FORM TEXT

(End FEC FORM 1)


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