FEC Form 1 for Healthcare Distribution Management Association Political Action CommitteeForm 1 for Healthcare Distribution Management Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-169914

1. Healthcare Distribution Management Association Political Action Committee

1275 K St. NW
Suite 1212
Washington, DC 20005

2. Date: 04/11/2005

3. FEC Committee ID #: C00247569 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Cheryl Jordan
1821 Michael Faraday Dr
#400
Reston, Virginia 20190
Title: Asst. Treasurer
Phone # (703) 885-0268

Banks or Depositories

Signed: Nancy Hanagan
Date Signed: 04/11/2005

(End FEC FORM 1)

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