FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-415999
1. NEW YORK STATE ASSOCIATION OF HEALTH CARE PROVIDERS INC FEDERAL PAC (HCP FEDERAL PAC)
99 Troy Road - Suite 200East Greenbush, NY 120611065
Email: dworakowski@nyshcp.org
2. Date: 05/05/2009
3. FEC Committee ID #: C00307637 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Committee ID# C00307637NEW YORK STATE ASSOCIATION OF HEALTH CARE PROVIDERS INC FEDERAL PAC (HCP FEDERAL PAC)
99 Troy Road - Suite 200
East Greenbush, New York 120611065
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
, ____
Designated Agent(s):
Banks or Depositories
Pioneer Bank21 Second Street
Troy, New York 12180