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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-72510

1. American Hospital Association PAC

325 Seventh Street NW
Suite 700
Washington, DC 20004
Email: shiggins@aha.org

2. Date:

3. FEC Committee ID #: C00106146

Affiliated Committees/Organizations

LA Hospital Political Action Committee
9521 Brookline Avenue
Baton Rouge, Louisiana 70809
Relationship: Affiliated
Organization Type: Trade Association

Custodian of Records:

Phone # 0

Treasurer:

Mr. Alfred Jackson, III
325 Seventh Street NW
Suite 700
Washington, DC 20004
Title: Vice President
Phone # (202) 626-3757

Designated Agent(s):

Banks or Depositories

Signed: Mr. Alfred Jackson, III
Date Signed: 01/27/2003
Official Committee URL: www.ahapac.org

FORM TEXT

(End FEC FORM 1)

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