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FEC Form 1 for Health Agents of America PAC-HAFA-PACForm 1 for Health Agents of America PAC-HAFA-PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026226


1. Health Agents of America PAC-HAFA-PAC

    PO Box 65128
    Baton Rouge, LA 70896
    Email: patchoffman@gmail.com

2. Date: 09/28/2015

3. FEC Committee ID #: C00583492 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

A-PAC Health Agents of America
PO Box 65128
Baton Rouge, Louisiana 70896
Affiliated Relationship Code: Connected Organization

Committee ID# C00583492
Health Agents of America PAC-HAFA-PAC
PO Box 65128
Baton Rouge, Louisiana 70896
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mary Hoffman
10128 Chestnut Oak Dr.
Baton Rouge, LA 70809
Title: Preparer
Phone # (225) 275-1904

Treasurer:

Jennifer Zimmerman
PO Box 65128
Baton Rouge, Louisiana 70869
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Capital One Bank
5220 Government
Baton Rouge, Louisiana 70806

Signed: Jennifer Zimmerman
Date Signed: 09/28/2015
Official Committee URL: http://www.hafapac.org/

NOTE: URL is different than previously reported

(End FEC FORM 1)


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