FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-238606
1. American Health Care Association Political Action Committee
1201 L Street NWWashington, DC 20005
Email: cmorton@ahca.org
2. Date: 09/19/2006
3. FEC Committee ID #: C00006080 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Custodian of Records:
Treasurer:
Robert Van Dyk1201 L Street NW
Washington, DC 20005
Designated Agent(s):
Banks or Depositories
BB&TPO Box 819
Wilson, North Carolina 27894