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-753395

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

818 Connecticut Ave., NW
Suite 1100
Washington, DC 20006
Email: dan67nye@gmail.com

NOTE: Email address is different than previously reported

2. Date: 11/18/2011

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Daniel S. Nye
203 Ernestine Street
Orlando, FL 32801
Title: BOD Treasurer
Phone # (407) 843-6110

Treasurer:

Daniel S. Nye
203 Ernestine Street
Orlando, Florida 32801
Title: Treasurer BOD
Phone # (407) 843-6110

Designated Agent(s):

Banks or Depositories

Republic Bank
50 South 16th Street
Philadelphia, Pennsylvania 19192

Signed: Daniel S. Nye
Date Signed: 11/18/2011

(End FEC FORM 1)

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