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FEC Form 1 for American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)Form 1 for American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1623454


1. American Association of Nurse Anesthetists Separate Segregated Fund (CRNA-PAC)

    10275 W. Higgins Rd
    Suite 500 - c/o Finance Department
    Rosement, IL 60018

    NOTE: Address is different than previously reported

    Email: crnapacfec@aanadc.com

2. Date: 08/12/2022

3. FEC Committee ID #: C00173153 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Association of Nurse Anesthetists
10275 W. Higgins Rd
Suite 500
Park Ridge, Illinois 60018
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Eric Graunke
10275 W. Higgins Rd
Suite 500
Rosemont, IL 60018
Title: Controller

Treasurer:

Mr. Ralph Kohl
25 Massachusetts Ave. NW
Suite 320
Washington, DC 20001
Title: Sr. Director, Federa
Phone # (202) 484-8400

Designated Agent(s):

Banks or Depositories

MB Financial
6111 North River Road
Rosemont, Illinois 60018

Signed: Mr. Ralph Kohl
Date Signed: 08/12/2022

(End FEC FORM 1)


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