FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-936267
1. American Hospital Association PAC
800 Tenth Street, NWTwo CityCenter, Suite 400
Washington, DC 200014956
NOTE: Address is different than previously reported
Email: lwerner@aha.org2. Date: 06/30/2014
3. FEC Committee ID #: C00106146 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 Hospital Association800 Tenth Street, NW
Two CityCenter, Suite 400
Washington, DC 200014956
Affiliated Relationship Code: Connected Organization
CA Hospital Association PAC-Federal
1215 K Street, Suite 800
Sacramento, California 95814
Affiliated Relationship Code: Affiliated Committee
PAC of the Arizona Hospital & Healthca
2901 North Central Avenue
Suite 900
Phoenix, Arizona 85012
Affiliated Relationship Code: Affiliated Committee
PAC of Missouri Hospital Association
P.O. Box 60
Jefferson City, Missouri 65102
Affiliated Relationship Code: Affiliated Committee
Montana Hospital Association PAC - Fed
P.O. Box 5119
Helena, Montana 59604
Affiliated Relationship Code: Affiliated Committee
North Carolina Hospital Association PA
P.O. Box 4449
Cary, North Carolina 27519
Affiliated Relationship Code: Affiliated Committee
Hospital and Healthsystem Assoc of PA
P.O. Box 8600
Harrisburg, Pennsylvania 17105
Affiliated Relationship Code: Affiliated Committee
HOSPAC - Federal PAC of the Texas Hosp
P.O. Box 679010
Austin, Texas 78767
Affiliated Relationship Code: Affiliated Committee
New York State Hospital and Healthcare
One Empire Drive
Rensselaer, New York 12144
Affiliated Relationship Code: Affiliated Committee
Wisconsin Hospital Association Inc. Fe
P.O. Box 259038
Madison, Wisconsin 53725
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Ms. Laura Werner800 Tenth Street, NW
Two CityCenter, Suite 400
Washington, DC 200014956
Title: Associate Director,
Phone # (202) 626-2271
Treasurer:
Ms. Melinda Hatton800 Tenth Street, NW
Two CityCenter, Suite 400
Washington, DC 200014956
Title: Treasurer
Phone # (202) 626-2336
Designated Agent(s):
Banks or Depositories
TD Bank605 14th Street, NW
Washington, DC 20005