FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-182770
1. California Hospital Association PAC - Federal
NOTE:Commmittee Name is different than previously reported
1215 K Street Suite 800Sacramento, CA 95814
2. Date: 07/28/2005
3. FEC Committee ID #: C00237495 This committee is a Separate Segregated FundAffiliated Committees/Organizations
California Hospital Association1215 K Street Suite 800
Sacramento, California 95814
Relationship: Connected Organization
Organization Type: Trade Association
American Hospital Association Politica
325 Seventh Street N.W.
Washington, DC 20004
Relationship: Affiliated Committee
Organization Type: Trade Association
Custodian of Records:
J. Richard Eichman1127 11th Street Suite 300
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-2280
Treasurer:
J. Richard Eichman1127-11th Street Suite 300
Sacramento, California 95814
Title: Treasurer
Phone # (916) 442-2280
Designated Agent(s):
Banks or Depositories
Bank of America1130 K Street
Sacramento, California 95814