FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-408820
1. FEDERATION OF AMERICAN HOSPITALS PAC
801 PENNSYLVANIA AVENUESUITE 245
WASHINGTON, DC 200042604
Email: csmith@fah.org
2. Date: 03/20/2009
3. FEC Committee ID #: C00002261 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Federation of American Hospitals801 Pennsylvania Ave. NW
Suite 245
Washington, DC 20004
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mr. Alex Mullineaux801 Pennsylvania Ave, N.W.
Suite 245
Washington, DC 200042604
Title: PAC Director/Policy
Phone # (202) 624-1526
Treasurer:
Mrs. Karen Conwell Smith801 Pennsylvania Avenue, N.W.
Suite 245
Washington, DC 200042604
Title: Vice President
Phone # (202) 624-1528
Designated Agent(s):
Mr. Jeffrey Micklos801 Pennsylvania Ave. NW
Suite 245
Washington, DC 20004
Title: General Counsel
Phone # (202) 624-1521
Banks or Depositories
Wachovia National Bank801 Pennsylvania Ave. NW
Washington, DC 20004