FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-120122
1. American Hospital Association PAC
325 Seventh Street NWSuite 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 FundAffiliated Committees/Organizations
California Healthcare Association PAC-Federal1215 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 Scott325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Associate Director
Phone # (202) 626-2968
Treasurer:
Ms. Melinda Hatton325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Vice President & Chi
Phone # (202) 626-2336
Designated Agent(s):
Mark Seklecki325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Director Political
Phone # (202) 626-2341
Banks or Depositories
Citibank FSBPO Box 19748
Washington, DC 20036
Signed: Ms. Melinda Hatton
Date Signed: 05/18/2004
Official Committee FAX: 202-686-2332
FORM TEXT