FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1030806
1. American Health Care Association Political Action Committee
PO Box 75357Washington, DC 20013
NOTE: Address is different than previously reported
Email: wgriffith@ahca.org2. Date: 10/22/2015
3. FEC Committee ID #: C00006080 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
Committee ID# C00006080American Health Care Association
1201 L Street NW
Washington, DC 20005
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Kim Zimmerman1201 L Street NW
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 898-2844
Treasurer:
Mr. Michael Wylie205 Fairview Road
Clarks Green, Pennsylvania 18411
Title: Treasurer
Phone # (570) 430-5832
Designated Agent(s):
Kim Zimmerman1201 L Street NW
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 898-2844
Banks or Depositories
BB&TP.O. Box 819
Wilson, North Carolina 27894