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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409768

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1. New York State Hospital and Healthcare Associations' Federal PAC

    One Empire Drive
    Rensselaer, NY 12144
    Email: skroll@hanys.org

2. Date: 03/26/2009

3. FEC Committee ID #: C00160259 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

Healthcare Association of New York State
One Empire Drive
Rensselaer, New York 12144
Affiliated Relationship Code: Connected Organization

Greater New York Hospital Association
555 West 57th Street, 15th Fl.
New York, New York 10019
Affiliated Relationship Code: Connected Organization

Iroquois Healthcare Alliance
17 Halfmoon Executive Park Drive
Clifton Park, New York 12065
Affiliated Relationship Code: Connected Organization

Nassau-Suffolk Hospital Council
1383 Veterans Memorial Highway
Hauppauge, New York 11788
Affiliated Relationship Code: Connected Organization

Northern Metropolitan Hospital Associa
400 stony Brook Court
Newburgh, New York 12550
Affiliated Relationship Code: Connected Organization

Rochester Regional Healthcare Advocate
3445 Winton Place
Rochester, New York 14623
Affiliated Relationship Code: Connected Organization

Western New York Healthcare Associatio
1876 Niagara Falls Blvd.
Tonawanda, New York 14150
Affiliated Relationship Code: Connected Organization

Committee ID# C00106146
American Hospital Association PAC
325 Seventh Street, NW
Suite 700
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee

AzHHA Political Action Committee
3901 North Central Avenue
Phoenix, Arizona 85012
Affiliated Relationship Code: Affiliated Committee

California Healthcare Association PAC-
P.O. Box 1100
Sacramento, California 95812
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-Feder
P.O. Box 1519
Helena, Montana 59604
Affiliated Relationship Code: Affiliated Committee

North Carolina Hospital PAC-Federal
P.O. Box 80428
Raleigh, North Carolina 27623
Affiliated Relationship Code: Affiliated Committee

Health Alliance Political Action Commi
4750 Lindle Road
Harrisburg, Pennsylvania 17105
Affiliated Relationship Code: Affiliated Committee

THA-The Association of texas Hospitals
P.O. Box 679010
Austin, Texas 78767
Affiliated Relationship Code: Affiliated Committee

Healthcare Association of Hawaii PAC
932 Ward Avenue
Honolulu, Hawaii 96814
Affiliated Relationship Code: Affiliated Committee

Wisconsin Health & Hospital Associatio
P.o. Box 259038
Madison, Wisconsin 53725
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mr. Steven Kroll
One Empire Drive
Rensselaer, NY 12144
Title: Treasurer
Phone # (518) 431-7600

Treasurer:

Mr. Steven Kroll
One Empire Drive
Rensselaer, New York 12144
Title: Treasurer
Phone # (518) 431-7600

Designated Agent(s):

Banks or Depositories

JP Morgan Chase Bank
12 Corporate Woods
Albany, New York 12211

Signed: Mr. Steven Kroll
Date Signed: 03/26/2009

(End FEC FORM 1)

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