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 420WASHINGTON, 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 AssociationAffiliated Committees/Organizations
National Association for Behavioral Healthcare900 17th Street, NW
Suite 420
Washington, DC 20006
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mark Covall900 17th Street, NW
Suite 420
Washington, DC 20006
Title: President/CEO
Phone # (202) 393-6700
Treasurer:
Mark Covall900 17th Street, NW
Suite 420
Washington, DC 20006
Title: President/CEO
Phone # (202) 393-6700
Designated Agent(s):
Banks or Depositories
Wells Fargo BankPO Box 63020
San Francisco, California 94163