FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-111545
1. American College of Nurse-Midwives Midwives-PAC
P. O. Box 14082Washington, DC 200444082
Fax: 0-
Email: N/A
2. Date: 03/15/2004
3. FEC Committee ID #: C00358812 This committee is a Separate Segregated FundAffiliated Committees/Organizations
American College of Nurse-Midwives818 Connecticut Avenue NW
Suite 900
Washington, DC 20006
Relationship: Connected
Organization Type: Membership Organization
Custodian of Records:
Cresta HeltmesPolitical Action Committee Service
7700 Old Branch Avenue Suite D-103
Clinton, MD 20735
Title: PAC Administrator
Phone # (301) 868-1888
Treasurer:
Patricia Burkhardt246 Greene Street
New York, New York 10003
Title: Midwifery Educator
Phone # (212) 998-5039
Designated Agent(s):
Marion McCartney818 Connecticut Avenue NW
Suite 900
Washington, DC 20006
Title: Assistant Treasurer
Phone # (202) 728-9860
Banks or Depositories
Bank of America7810 Old Branch Avenue
Clinton, Maryland 20735