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FEC Form 1 for AMERICAN COLLEGE OF NURSE-MIDWIVES MIDWIVES-PACForm 1 for AMERICAN COLLEGE OF NURSE-MIDWIVES MIDWIVES-PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026090


1. AMERICAN COLLEGE OF NURSE-MIDWIVES MIDWIVES-PAC

    8403 Colesvile Road
    Suite 1550
    Silver Spring, MD 20910
    Email: jbushman@acnm.org

    NOTE: Email address is different than previously reported

2. Date: 09/17/2015

3. FEC Committee ID #: C00358812 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American College of Nurse-Midwives
8403 Colesville Road, Suite 1550
Silver Spring, Maryland 20910
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chandru Krishna
8403 Colesville Road
Suite 1550
Silver Spring, MD 209106374
Title: PAC Administrator
Phone # (240) 485-1828

Treasurer:

Jesse Bushman
6265 Gentle lane
Alexandria, Virginia 22310
Title: Treasurer
Phone # (240) 485-1843

Designated Agent(s):

Sandra Gray
8403 COLESVILE ROAD SUITE 1550
SILVER SPRING, Maryland 20910
Title: Assistant Treasurer
Phone # (240) 485-1854

Banks or Depositories

Bank of America
7810 Old Branch Avenue
Clinton, Maryland 20735

Signed: Jesse Bushman
Date Signed: 09/17/2015
Official Committee URL: www.midwife.org/pac

(End FEC FORM 1)


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