FEC Form 1 for American Nurses Association PACForm 1 for American Nurses Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1147692

1. American Nurses Association PAC

8515 Georgia Avenue
Suite 400
Silver Spring, MD 20910
Email: michelle.artz@ana.org;outsourcing@aristotle.com

2. Date: 01/27/2017

3. FEC Committee ID #: C00017525 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 Nurses Association
8515 Georgia Avenue
Suite 400
Silver Spring, Maryland 209103492
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michelle M. Artz
8515 Georgia Ave #400
Silver Spring, MD 209103492
Title: Custodian of Records
Phone # (301) 628-5087

Treasurer:

Edward T. Briggs
8515 Georgia Avenue
Suite 400
Silver Spring, Maryland 209103492
Title: Treasurer
Phone # (301) 628-5087

Designated Agent(s):

Michelle M. Artz
8515 Georgia Ave #400
Silver Spring, Maryland 209103492
Title: Custodian of Records
Phone # (301) 628-5087

Banks or Depositories

Bank of America
PO Box 2485
Spokane, Washington 99210

Signed: Edward T. Briggs
Date Signed: 02/03/2017
Official Committee URL: www.ana-pac.org

FORM TEXT-1

(End FEC FORM 1)

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