FEC Form 1 for UNITED AMERICAN NURSES AFL-CIO REGISTERED NURSE POLITICAL ACTION COMMITTEE UAN RN PACForm 1 for UNITED AMERICAN NURSES AFL-CIO REGISTERED NURSE POLITICAL ACTION COMMITTEE UAN RN PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-330692

1. UNITED AMERICAN NURSES AFL-CIO REGISTERED NURSE POLITICAL ACTION COMMITTEE UAN RN PAC

8515 GEORGIA AVENUE SUITE 400
SILVER SPRING, MD 20910
Fax: 2408211817
Email: jay.witter@uannurse.org

2. Date: 04/10/2008

3. FEC Committee ID #: C00446237 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

UNITED AMERICAN NURSES
8515 Georgia Avenue
Suite 400
Silver Spring, Maryland 20910
Relationship: Connected
Organization Type: Labor Organization

Custodian of Records:

Michael Nilsson
8515 Georgia Avenue
Suite 400
Silver Spring, MD 20910
Title: Custodian of Records
Phone # (240) 821-1810

Treasurer:

Michael Nilsson
8515 Georgia Avenue
Suite 400
Silver Spring, Maryland 20910
Title: Treasurer
Phone # (240) 821-1810

Designated Agent(s):

Anne Bowe
8515 Georgia Avenue
Suite 400
Silver Spring, Maryland 20910
Title: Assistant Treasurer
Phone # (240) 821-1810

Banks or Depositories

SunTrust Bank
1445 New York Ave., NW
Washington, DC 20005

Signed: Michael Nilsson
Date Signed: 04/10/2008
Official Committee FAX: 2408211817

(End FEC FORM 1)

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