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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1609484

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1. HOSPAC - FEDERAL THE POLITICAL ACTION COMMITTEE OF THE TEXAS HOSPITAL ASSOCIATION

    P.O. BOX 679010
    AUSTIN, TX 78767
    Email: ckroll@tha.org

    NOTE: Email address is different than previously reported

2. Date: 07/12/2022

3. FEC Committee ID #: C00301325 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Texas Hospital Association
PO Box 679010
Austin, Texas 78767
Affiliated Relationship Code: Connected Organization

AZHHA Political Action Committee
3901 North Central Ave
Phoenix, Arizona 85012
Affiliated Relationship Code: Affiliated Committee

California Healthcare Association PAC-
PO Box 1100
Sacramento, California 958121100
Affiliated Relationship Code: Affiliated Committee

PAC of Missouri Hospital Association
PO Box 60
Jefferson City, Missouri 65102
Affiliated Relationship Code: Affiliated Committee

Montana Hospital Association PAC - Fed
PO Box 1519
Helena, Montana 59604
Affiliated Relationship Code: Affiliated Committee

North Carolina Hospital Association Fe
PO Box 80428
Raleigh, North Carolina 27623
Affiliated Relationship Code: Affiliated Committee

Health Alliance Political Action Commi
4750 Lindle Road
Harrisburg, Pennsylvania 17105
Affiliated Relationship Code: Affiliated Committee

Healthcare Association of Hawaii PAC
932 Ward Ave
Honolulu, Hawaii 96814
Affiliated Relationship Code: Affiliated Committee

New York State Hospital and Healthcare
One Empire Dr
Rensselaer, New York 12144
Affiliated Relationship Code: Affiliated Committee

Wisconsin Health & Hospital Associatio
PO Box 259038
Madison, Wisconsin 53725
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00106146
AMERICAN HOSPITAL ASSOCIATION PAC
800 TENTH STREET, NW
TWO CITYCENTER, SUITE 400
WASHINGTON, DC 20001
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mr Ignacio Zamarron
1108 Lavaca St Ste 700
Austin, TX 78701
Title: Sr Vice President
Phone # (512) 465-1084

Treasurer:

Ms Carrie Kroll
1108 Lavaca St Ste 700
Austin, Texas 78701
Title: VP Advocacy
Phone # (512) 465-1046

Designated Agent(s):

Banks or Depositories

Regions Bank
100 Congress Ave
Austin, Texas 78701

Signed: Ms Carrie Kroll
Date Signed: 07/12/2022

(End FEC FORM 1)

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