FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-433511
1. MO - Political Action Committee of the Missouri Hospital Association
PO Box 604712 Country Club Drive
Jefferson City, MO 651020060
Email: dlandon@mail.mhanet.com
2. Date: 09/25/2009
3. FEC Committee ID #: C00289777 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Missouri Hospital AssociationP.O. Box 60
4712 Country Club Drive
Jefferson City, Missouri 651020060
Affiliated Relationship Code: Connected Organization
American Hospital Association Politica
325 Seventh Street, NW
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Kathleen C., PoffP.O. Box 60
Jefferson City, MO 651020060
Title: Assistant Treasurer
Phone # (573) 893-3700
Treasurer:
Daniel LandonPO Box 60
4712 Country Club Drive
Jefferson City, Missouri 651020060
Title: Treasurer
Phone # (573) 893-3700
Designated Agent(s):
Kathleen PoffP.O. Box 60
4712 Country Club Drive
Jefferson City, Missouri 651020060
Title: Assistant Treasurer
Phone # (573) 893-3700
Herb Kuhn
P.O. Box 60
4712 Country Club Drive
Jefferson City, Missouri 651020060
Title: Agent
Phone # (573) 893-3700
Gerald Sill, J.D.
P.O. Box 60
4712 Country Club Drive
Jefferson City, Missouri 651020060
Title: Agent
Phone # (573) 893-3700
Banks or Depositories
Central Bank238 Madison Street
Jefferson City, Missouri 65101