FEC Form 1 for HEALTH INDUSTRY GROUP PURCHASING ASSOCIATION POLITICAL ACTION COMMITTEE (HIGPA PAC)Form 1 for HEALTH INDUSTRY GROUP PURCHASING ASSOCIATION POLITICAL ACTION COMMITTEE (HIGPA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-287953

1. HEALTH INDUSTRY GROUP PURCHASING ASSOCIATION POLITICAL ACTION COMMITTEE (HIGPA PAC)

2025 M STREET NW SUITE 800
WASHINGTON, DC 20036
Email: crooney@smithbucklin.com

2. Date: 02/13/2007

3. FEC Committee ID #: C00423863 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Mr. Curtis Rooney
2025 M Street NW Suite 800
Washington, DC 20036
Title: Custodian of Records

Treasurer:

Mr. Curtis Rooney
2025 M Street NW Suite 800
Washington, DC 20036
Title: Treasurer

Designated Agent(s):

Mr. Don Black
6803 W. 64th Street Suite 208
Shawnee Mission, Kansas 66202
Title: Assistant Treasurer

Banks or Depositories

Signed: Mr. Curtis Rooney
Date Signed: 05/11/2007

(End FEC FORM 1)

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