FEC Form 1 for NATIONAL RENAL ADMINISTRATORS ASSOCIATION POLITICAL ACTION COMMITTEE (NRAA-PAC)Form 1 for NATIONAL RENAL ADMINISTRATORS ASSOCIATION POLITICAL ACTION COMMITTEE (NRAA-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1043511

1. NATIONAL RENAL ADMINISTRATORS ASSOCIATION POLITICAL ACTION COMMITTEE (NRAA-PAC)

700 13th Street, NW
Suite 600
Washington, DC 20005

NOTE: Address is different than previously reported

Email: PLGroup@perkinscoie.com

NOTE: Email address is different than previously reported

2. Date: 01/26/2016

3. FEC Committee ID #: C00255091 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

National Renal Administrators Assocation (NRAA)
100 North 20th Street
Suite 400
Philadelphia, Pennsylvania 191031462
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Robert S. Bomstad
700 13th Street, NW, Suite 600
Washington, DC 20005
Title: Treasurer

Treasurer:

Robert S. Bomstad
700 13th Street, NW, Suite 600
Washington, DC 20005
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Republic Bank
50 South 16th Street
Suite 2400
Philadelphia, Pennsylvania 19102

Signed: Robert S. Bomstad
Date Signed: 01/28/2016
Official Committee URL: N/A

(End FEC FORM 1)

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