FEC Form 1 for POLITICAL ACTION COMMITTEE OF THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATIONForm 1 for POLITICAL ACTION COMMITTEE OF THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1324213

1. POLITICAL ACTION COMMITTEE OF THE ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION

2800 N CENTRAL AVE
SUITE 1450
PHOENIX, AZ 85004
Email: gensell@azhha.org

NOTE: Email address is different than previously reported

2. Date: 04/12/2019

3. FEC Committee ID #: C00217687 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Arizona Hospital and Healthcare Association
2800 N. Central Ave #1450
Phoenix, Arizona 85004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Greg Ensell
2800 N. Central Ave
Suite #1450
Phoenix, AZ 85004
Phone # (602) 445-4300

Treasurer:

Greg Ensell
2800 N. Central Ave
Suite #1450
Phoenix, Arizona 85004
Phone # (602) 445-4300

Designated Agent(s):

Greg Ensell
2800 N. Central Ave
Suite 1450
PHOENIX, Arizona 85007
Phone # (602) 445-4300

Banks or Depositories

Wells Fargo
1200 Montego Way
Walnut, California 95498

Signed: Greg Ensell
Date Signed: 04/12/2019
Official Committee URL: azhha.org

NOTE: URL is different than previously reported

FORM TEXT-1

(End FEC FORM 1)

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