FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1501710
1. American Nurses Association PAC
8515 Georgia AvenueSuite 400
Silver Spring, MD 209103492
Email: erik.koeppen@ana.org;outsourcing@aristotle.com
2. Date: 02/18/2021
3. FEC Committee ID #: C00017525 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
American Nurses Association8515 Georgia Ave
Ste 400
Silver Spring, Maryland 209103492
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Erik W. Koeppen8515 Georgia Ave
Ste 400
Silver Spring, MD 209103492
Title: Custodian of Records
Phone # (301) 628-5051
Treasurer:
Dori A. Healey, MSN, RN12404 W View Ridge Dr
Boise, Idaho 837090009
Title: Treasurer
Designated Agent(s):
Erik W. Koeppen8515 Georgia Ave
Ste 400
Silver Spring, Maryland 209103492
Title: Custodian of Records
Phone # (301) 628-5051
Banks or Depositories
Bank of AmericaPO Box 2485
Spokane, Washington 99210