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-496115

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

888 16th Street, NW
Suite 640
Washington, DC 20006
Email: raquino@nationalnursesunited.org

NOTE: Email address is different than previously reported

2. Date: 09/29/2010

3. FEC Committee ID #: C00446237 This committee is a separate segregated fund. Its connected organization is a Labor Organization
In addition, this committee is a Lobbyist/Registrant PAC.

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:

Rosalia Aquino
2000 Franklin Street
Oakland, CA 94612
Title: Controller
Phone # (800) 578-8225

Treasurer:

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

Designated Agent(s):

Michael Lighty
888 16th Street, NW
Suite 640
Washington, DC 20006
Phone # (510) 273-2242

Sandra Fallwell
11401 Accolade Court
Clinton, Maryland 20735
Title: Assistant Treasurer

Martha Kuhl
888 16th Street, NW
Suiet 640
Washington, DC 20006
Title: Secretary-Treasurer

Kristin Lynch
888 16th Street
Suite 640
Washington, DC 20006
Title: Director

Banks or Depositories

JP Morgan/Chase Bank
350 20th Street
Oakland, California 94612

Signed: Carolyn Hietamaki
Date Signed: 10/04/2010
Official Committee URL: http://www.nationalnursesunited.org

(End FEC FORM 1)

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