FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-417652
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
New York State Association of Health Care Providers, Inc99 Troy Rd., Suite 200
East Greenbush, New York 12061
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Todd Brason58 Tudor Place
Buffalo, New York 14222
Title: Treasurer
Phone # (716) 783-8288
Designated Agent(s):
Phyllis A. Wang, Asst. Treasurer16 Leaward Way
Saratoga Springs, New York 12866
Title: Asst. Treasurer
Phone # (518) 583-4862
Banks or Depositories
Pioneer Bank21 Second Street
Troy, New York 12180