FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-930285
1. HEALTH CARE LEADERSHIP COMMITTEE
221 EAST CAPITOL AVENUEJEFFERSON CITY, MO 65101
Email: shawk@armstrongteasdale.com
NOTE: Email address is different than previously reported
2. Date: 06/10/2014
3. FEC Committee ID #: C00323576This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.
Affiliated Committees/Organizations
Committee ID# C00323576
HEALTH CARE LEADERSHIP COMMITTEE
221 EAST CAPITOL AVENUE
JEFFERSON CITY, Missouri 65101
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Shanon M. Hawk
221 E. Capitol Avenue
Jefferson City, MO 65101
Title: Treasurer
Phone # (573) 893-7753
Treasurer:
Shanon M. Hawk
221 E. Capitol Avenue
Jefferson City, Missouri 65101
Title: Treasurer
Phone # (573) 893-7753
Designated Agent(s):
David Aplington
7441 York Drive
Clayton, Missouri 63105
Title: President
Phone # (314) 286-2141
Banks or Depositories
US Bank
11685 Gravois Road
St. Louis, Missouri 63126
Signed: Shanon M. Hawk
Date Signed: 06/10/2014
(End FEC FORM 1)
Date Signed: 06/10/2014