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-312547

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

2025 M STREET NW SUITE 800
WASHINGTON, DC 20036
Fax: 2023672162
Email: info@higpa.org

2. Date: 12/10/2007

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

Affiliated Committees/Organizations

Health Industry Group Purchasing Association
2025 M Street NW
Suite 800
Washington, DC 20036
Relationship: connected
Organization Type: Trade Association

Custodian of Records:

Curtis Rooney
2025 M ST NW
Suite 800
Washington, DC 20036
Title: custodian
Phone # (202) 367-1240

Treasurer:

Curtis Rooney
2025 M ST NW
Suite 800
Washington, DC 20036
Title: treasurer

Designated Agent(s):

Don Black
6803 W. 64th street
suite 208
Shawnee Mission, Kansas 66202
Title: assistant treasurer

Banks or Depositories

SunTrust Bank
PO Box 622227
Orlando, Florida 32862

Signed: Curtis Rooney
Date Signed: 12/10/2007
Official Committee FAX: 2023672162

(End FEC FORM 1)

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