FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1383388
1. American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)
222 South Prospect Avec/o Finance Department
Park Ridge, IL 600684001
Email: crnapacfec@aanadc.com
2. Date: 02/19/2020
3. FEC Committee ID #: C00173153 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
American Association of Nurse Anesthetists222 South Prospect Ave
Park Ridge, Illinois 600684001
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Ms. Erica Walton222 S Prospect Avenue
Park Ridge, IL 60068
Title: Controller
Treasurer:
Mr. Ralph Kohl25 Massachusetts Ave. NW
Suite 320
Washington, DC 20001
Title: Sr. Director, Federa
Phone # (202) 484-8400
Designated Agent(s):
Ms. Erica Walton
222 S Prospect Avenue
Park Ridge, Illinois 60068
Title: Controller
Banks or Depositories
MB Financial6111 North River Road
Rosemont, Illinois 60018