FEC Form 1 for American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)Form 1 for American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1152479

1. American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)

222 South Prospect Ave
c/o Finance Department
Park Ridge, IL 600684001
Email: crnapacfec@aanadc.com

2. Date: 03/16/2017

3. FEC Committee ID #: C00173153 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Association of Nurse Anesthetists
222 South Prospect Ave
Park Ridge, Illinois 600684001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kim Paczesny
222 South Prospect Ave.
Park Ridge, IL 60068
Title: Senior Director of F
Phone # (847) 655-1120

Treasurer:

Mr. Ralph Kohl
25 Massachusetts Ave. NW
Suite 320
Washington, DC 20001
Title: Sr. Director, Federa
Phone # (202) 484-8400

Designated Agent(s):

Banks or Depositories

MB Financial
6111 North River Road
Rosemont, Illinois 60018

Signed: Mr. Ralph Kohl
Date Signed: 03/16/2017

(End FEC FORM 1)

Generated Sat Jul 6 22:45:30 2024