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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1606983

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1. American Hospital Association PAC

    800 Tenth Street, NW
    Two CityCenter, Suite 400
    Washington, DC 200014956
    Email: lwerner@aha.org,pac@aha.org

    NOTE: Email address is different than previously reported

2. Date: 07/06/2022

3. FEC Committee ID #: C00106146 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 Hospital Association
800 Tenth Street, NW
Two CityCenter, Suite 400
Washington, DC 200014956
Affiliated Relationship Code: Connected Organization

CA Hospital Association PAC-Federal
1215 K Street, Suite 700
Sacramento, California 95814
Affiliated Relationship Code: Affiliated Committee

PAC of the Arizona Hospital & Healthca
2800 North Central Avenue
Suite 1450
Phoenix, Arizona 85004
Affiliated Relationship Code: Affiliated Committee

MO - PAC of the Missouri Hospital Asso
P.O. Box 60
4712 Country Club Drive
Jefferson City, Missouri 65102
Affiliated Relationship Code: Affiliated Committee

MHA Federal PAC
2625 Winne Ave
Helena, Montana 59601
Affiliated Relationship Code: Affiliated Committee

North Carolina Hospital Association PA
P.O. Box 4449
Cary, North Carolina 27519
Affiliated Relationship Code: Affiliated Committee

Hospital and Healthsystem Assoc of PA
30 North Third Street
Suite 600
Harrisburg, Pennsylvania 17101
Affiliated Relationship Code: Affiliated Committee

HOSPAC - Federal PAC of the Texas Hosp
P.O. Box 679010
Austin, Texas 78767
Affiliated Relationship Code: Affiliated Committee

Healthcare Association of New York Sta
One Empire Drive
Rensselaer, New York 12144
Affiliated Relationship Code: Affiliated Committee

Wisconsin Hospital Association Inc. Fe
P.O. Box 259038
5510 Research Park Drive
Madison, Wisconsin 53725
Affiliated Relationship Code: Affiliated Committee

Kentucky Hospital Association Politica
2501 Nelson Miller Parkway
Louisville, Kentucky 40253
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Ms. Laura Werner
800 Tenth Street, NW
Two CityCenter, Suite 400
Washington, DC 200014956
Title: Associate Director,
Phone # (202) 626-2271

Treasurer:

Ms. Melinda Hatton
800 Tenth Street, NW
Two CityCenter, Suite 400
Washington, DC 200014956
Title: Treasurer
Phone # (202) 626-2336

Designated Agent(s):

Banks or Depositories

TD Bank
605 14th Street, NW
Washington, DC 20005

Signed: Ms. Melinda Hatton
Date Signed: 07/06/2022

FORM TEXT-1

(End FEC FORM 1)

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