FEC Form 1 for National Nurses United PAC - A Fund for a Healthy AmericaForm 1 for National Nurses United PAC - A Fund for a Healthy America

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-476107

1. National Nurses United PAC - A Fund for a Healthy America

NOTE:Commmittee Name is different than previously reported

888 16th Street, NW
Suite 640
Washington, DC 20006

NOTE: Address is different than previously reported

Email: clorenzetti@nationalnursesunited.org

NOTE: Email address is different than previously reported

2. Date: 06/21/2010

3. FEC Committee ID #: C00446237 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

National Nurses United
888 16th Street
Suite 640
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Committee ID# C00360438
CA NURSES ASSOC./NAT'L. NURSES ORGANIZ
555 Capitol Mall, Suite 1425
Sacramento, California 95814
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Carolyn Hietamaki
888 16th Street, NW
Suite 640
Washington, DC 20006
Title: Treasurer
Phone # (240) 821-1815

Treasurer:

Carolyn Hietamaki
888 16th Street, NW
Suite 640
Washington, DC 20006
Title: Treasurer
Phone # (240) 821-1815

Designated Agent(s):

Banks or Depositories

SunTrust
PO Box 62227
Orlando, Florida 328622227

Signed: Carolyn Hietamaki
Date Signed: 06/21/2010
Official Committee URL: http://www.nationalnursesunited.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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