FEC Form 1 for HOSPAC - Federal The Political Action Committee of The Texas Hospital AssociationForm 1 for HOSPAC - Federal The Political Action Committee of The Texas Hospital Association

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-319574

1. HOSPAC - Federal The Political Action Committee of The Texas Hospital Association

P.O. Box 15587
Austin, TX 787615587
Fax: 512-692-2825
Email: lkepple@tha.org

2. Date: 01/31/2008

3. FEC Committee ID #: C00301325 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Texas Hospital Association
PO Box 15587
Austin, Texas 787615587
Relationship: connected
Organization Type: Trade Association

Custodian of Records:

Ignacio Zamarron, CPA
PO Box 15587
Austin, TX 78761
Title: Sr Vice President -
Phone # (512) 465-1084

Treasurer:

John Hawkins
PO Box 15587
Austin, Texas 78761
Title: Sr Vice President -
Phone # (512) 465-1505

Designated Agent(s):

Banks or Depositories

JPMorgan Chase Bank
PO Box 550
Austin, Texas 78767

Signed: John Hawkins
Date Signed: 01/31/2008
Official Committee FAX: 512-692-2825

(End FEC FORM 1)

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