FEC Form 1 for AMERICAN ASSOCIATION OF NURSE PRACTITIONERS POLITICAL ACTION COMMITTEEForm 1 for AMERICAN ASSOCIATION OF NURSE PRACTITIONERS POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-856946

1. AMERICAN ASSOCIATION OF NURSE PRACTITIONERS POLITICAL ACTION COMMITTEE

NOTE:Commmittee Name is different than previously reported

PO BOX 12846
AUSTIN, TX 78711

NOTE: Address is different than previously reported

Email: finance@aanp.org

2. Date: 01/09/2013

3. FEC Committee ID #: C00358903 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
P.O. BOX 12846
AUSTIN, Texas 78711
Affiliated Relationship Code: Connected Organization

Committee ID# C00382440
AMERICAN ASSOCIATION OF NURSE PRACTITI
225 REINEKERS LANE
SUITE 525
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

DEBORAH SMITHEY
P.O. BOX 12846
AUSTIN, TX 78711
Title: VP FINANCE & MBR
Phone # (512) 442-4262

Treasurer:

MARY ELLEN ROBERTS
10 MEADOWBROOK RD.
SHORT HILLS, New Jersey 07078
Title: TREASURER
Phone # (973) 202-1616

Designated Agent(s):

LOUANN BAILEY
3060 RAINBOW LANE
RICHFIELD, Ohio 44286
Title: ASST. TREASURER

Banks or Depositories

CHASE BANK
2600 BURNET RD
#200
AUSTIN, Texas 78757

Signed: MARY ELLEN ROBERTS
Date Signed: 01/09/2013

(End FEC FORM 1)

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