FEC Form 1 for HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)Form 1 for HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1564719

1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

1341 G STREET NW
Suite 600
WASHINGTON, DC 20005
Email: info@supplychainassociation.org;tebert@supplychainassociation.org

NOTE: Email address is different than previously reported

2. Date: 01/20/2022

3. FEC Committee ID #: C00423863 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

Healthcare Supply Chain Association
1341 G Street NW
Suite 600
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Todd C Ebert
1341 G Street NW
Suite 600
Washington, DC 20005
Title: Treasurer
Phone # (202) 629-5835

Treasurer:

Todd C Ebert
1341 G Street NW
Suite 600
Washington, DC 20005
Title: Treasurer
Phone # (202) 629-5835

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1564719

1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

NOTE: Email address is different than previously reported

2. Date: 01/20/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Todd C Ebert
Date Signed: 01/31/2022

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1564719

1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

NOTE: Email address is different than previously reported

2. Date: 01/20/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Todd C Ebert Date Signed: 01/31/2022

(End FEC FORM 1)

Signed: Todd C Ebert
Date Signed: 01/31/2022