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FEC Form 1 for California Healthcare Association PAC - FederalForm 1 for California Healthcare Association PAC - Federal

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-164590


1. California Healthcare Association PAC - Federal

    1201 K Street Suite 800
    Sacramento, CA 95814

2. Date: 02/10/2005

3. FEC Committee ID #: C00237495 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

California Healthcare Association
1201 K Street Suite 800
Sacramento, California 95814
Relationship: Connected Organization
Organization Type: Trade Association

American Hospital Association Politica
325 Seventh Street N.W.
Washington, DC 20004
Relationship: Affiliated Committee
Organization Type: Trade Association

Custodian of Records:

J. Richard Eichman
1127 11th Street Suite 300
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-2280

Treasurer:

J. Richard Eichman
1127-11th Street Suite 300
Sacramento, California 95814
Title: Treasurer
Phone # (916) 442-2280

Designated Agent(s):

Banks or Depositories

Bank of America
1130 K Street
Sacramento, California 95814

Signed: J. Richard Eichman
Date Signed: 02/10/2005

(End FEC FORM 1)


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