FEC Form 1 for American Health Care Association Political Action CommitteeForm 1 for American Health Care Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1732339

1. American Health Care Association Political Action Committee

PO Box 33079
Washington, DC 200330079
Email: jhahs@ahca.org,compliance@katzcompliance.com

NOTE: Email address is different than previously reported

2. Date: 10/16/2023

3. FEC Committee ID #: C00006080 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

American Health Care Association
1201 L Street NW
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sarah Schumann
PO Box 1958
Castle Rock, CO 80104
Title: Treasurer
Phone # (720) 573-4335

Treasurer:

Sarah Schumann
PO Box 1958
Castle Rock, Colorado 80104
Title: Treasurer
Phone # (720) 573-4335

Designated Agent(s):

Jennifer Hahs
1201 L Street NW
Washington, DC 20005
Title: VP,Political Affairs
Phone # (202) 898-2844

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1732339

1. American Health Care Association Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 10/16/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Sarah Schumann
Date Signed: 10/18/2023

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1732339

1. American Health Care Association Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 10/16/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Sarah Schumann Date Signed: 10/18/2023

(End FEC FORM 1)

Signed: Sarah Schumann
Date Signed: 10/18/2023