FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-409897
1. North Carolina Hospital Association Political Action Committee - Federal
P.O. Box 4449Cary, NC 275194449
Email: ljones@ncha.org
2. Date: 03/25/2009
3. FEC Committee ID #: C00194647 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
North Carolina Hospital AssociationPost Office Box 4449
Cary, North Carolina 27519
Affiliated Relationship Code: Connected Organization
American Hospital Association Politica
325 Seventh St, NW
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee
AzHHA Political Action Committee
3901 N. Central Ave.
Phoenix, Arizona 85012
Affiliated Relationship Code: Affiliated Committee
California Healthcare Association PAC
P.O. Box 1100
Sacramento, California 958121100
Affiliated Relationship Code: Affiliated Committee
PAC of Missouri Hospital Association
P.O. Box 60
Jefferson City, Missouri 65102
Affiliated Relationship Code: Affiliated Committee
Montana Hospital Association PAC - Fed
P.O. Box 1519
Helena, Montana 59604
Affiliated Relationship Code: Affiliated Committee
Health Alliance Political Action Commi
4750 Lindle Road
Harrisburg, Pennsylvania 17105
Affiliated Relationship Code: Affiliated Committee
THA - The Association of Texas Hospita
P.O. Box 679010
Austin, Texas 78767
Affiliated Relationship Code: Affiliated Committee
Healthcare Association of Hawaii PAC
923 Ward Avenue
Honolulu, Hawaii 96814
Affiliated Relationship Code: Affiliated Committee
New York State Hospital and Healthcare
One Empire Drive
Rensselaer, New York 12144
Affiliated Relationship Code: Affiliated Committee
Wisconsin Health and Hospital Associat
P.O. Box 259038
Madison, Wisconsin 53725
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Treasurer:
Mr. Jamal JonesP.O. Box 4449
Cary, North Carolina 275194449
Title: Director of Governme
Phone # (919) 677-4231
Designated Agent(s):
Banks or Depositories
BB&T1821 S. Main St.
Wake Forest, North Carolina 27587