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-125709

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

818 Connecticut Ave. NW
Suite 1100
Washington, DC 20006

NOTE: Address is different than previously reported

Fax: 2024640669
Email: None

2. Date: 07/13/2004

3. FEC Committee ID #: C00255091 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Renal Administrators Association
1904 Naomi Place
Prescott, Arizona 86303
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Tim Rossi
818 Connecticut Avenue NW
Suite 1100
Washington, DC 20006
Title: Treasurer
Phone # (202) 728-1010

Treasurer:

Tim Rossi
818 Connecticut Avenue NW
Suite 1100
Washington, DC 20006
Title: Treasurer
Phone # (202) 728-1010

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
Miller Valley Office
P.O. Box 6995
Portland, Oregon 972286995

Signed: Tim Rossi
Date Signed: 07/13/2004
Official Committee URL: None
Official Committee FAX: 2024640669

(End FEC FORM 1)

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