FEC Form 1 for NABH Champions PACForm 1 for NABH Champions PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1216112

1. NABH Champions PAC

NOTE:Commmittee Name is different than previously reported

900 17TH STREET, NW SUITE 420
WASHINGTON, DC 20006
Email: pac@nabh.org

NOTE: Email address is different than previously reported

2. Date: 03/28/2018

3. FEC Committee ID #: C00107136 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

National Association for Behavioral Healthcare
900 17th Street, NW
Suite 420
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mark Covall
900 17th Street, NW
Suite 420
Washington, DC 20006
Title: President/CEO
Phone # (202) 393-6700

Treasurer:

Mark Covall
900 17th Street, NW
Suite 420
Washington, DC 20006
Title: President/CEO
Phone # (202) 393-6700

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
PO Box 63020
San Francisco, California 94163

Signed: Mark Covall
Date Signed: 03/28/2018

(End FEC FORM 1)

Generated Sun Aug 25 09:36:48 2024