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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-794563

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1. TEXAS ASSOCIATION FOR HOME CARE & HOSPICE, INC. TEXAS HOME CARE & HOSPICE PAC- FEDERAL

    3737 EXECUTIVE CENTER DR STE 268
    AUSTIN, TX 78731
    Email: rachel@tahch.org

    NOTE: Email address is different than previously reported

2. Date: 07/10/2012

3. FEC Committee ID #: C00393728 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Texas Association For Home Care and Hospice, Inc.
3737 Executive Center Dr. #268
Austin, Texas 78731
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Rachel Hammon
3737 Executive Center Drive
Austin, TX 78731
Title: Executive Director
Phone # (512) 338-9293

Treasurer:

Ms. Rachel Hammon
3737 Executive Center Drive
Austin, Texas 78731
Title: Executive Director
Phone # (512) 338-9293

Designated Agent(s):

Banks or Depositories

Chase Bank
7600 Burnet Rd.
Austin, Texas 78757

Signed: Ms. Rachel Hammon
Date Signed: 07/10/2012

(End FEC FORM 1)

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