FEC Form 1 for FEDERATION OF AMERICAN HOSPITALS PACForm 1 for FEDERATION OF AMERICAN HOSPITALS PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1027350

1. FEDERATION OF AMERICAN HOSPITALS PAC

750 9th Street NW
Suite 600
Washington, DC 20001
Email: levangelista@fah.org;pmihalik@fah.org

NOTE: Email address is different than previously reported

2. Date: 10/09/2015

3. FEC Committee ID #: C00002261 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Federation of American Hospitals
750 9th Street NW
Suite 600
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Paige Janea Mihalik
750 9th Street, NW
Suite 600
Washington, DC 20001
Title: PAC Coordinator
Phone # (202) 624-1525

Treasurer:

Mrs. Leah Ann Evangelista
750 9th Street, N.W.
Suite 600
Washington, DC 20001
Title: Treasurer
Phone # (202) 624-1526

Designated Agent(s):

Mr. Jeff Cohen
750 9th Street, NW
Suite 600
Washington, DC 20001
Title: Assistant Treasurer

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1027350

1. FEDERATION OF AMERICAN HOSPITALS PAC

NOTE: Email address is different than previously reported

2. Date: 10/09/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mrs. Leah Ann Evangelista
Date Signed: 10/09/2015

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1027350

1. FEDERATION OF AMERICAN HOSPITALS PAC

NOTE: Email address is different than previously reported

2. Date: 10/09/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mrs. Leah Ann Evangelista Date Signed: 10/09/2015

(End FEC FORM 1)

Signed: Mrs. Leah Ann Evangelista
Date Signed: 10/09/2015