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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154723

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1. AMERICAN COLLEGE OF NURSE-MIDWIVES MIDWIVES-PAC

    8403 Colesvile Road
    Suite 1550
    Silver Spring, MD 20910
    Email: fpurcell@acnm.org

    NOTE: Email address is different than previously reported

2. Date: 04/03/2017

3. FEC Committee ID #: C00358812 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American College of Nurse-Midwives
8403 Colesville Road, Suite 1550
Silver Spring, Maryland 20910
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chandru Krishna
8403 Colesville Road
Suite 1550
Silver Spring, MD 209106374
Title: PAC Administrator
Phone # (240) 485-1828

Treasurer:

Frank Purcell
8403 Colesville Rd, Suite 1550
Silver Spring, Maryland 20910
Title: Treasurer
Phone # (240) 485-1810

Designated Agent(s):

Frank Purcell
8403 Colesville Road, Suite 1550
Silver Spring, Maryland 20910
Title: Designated Agent
Phone # (240) 485-1810

Banks or Depositories

Bank of America
7810 Old Branch Avenue
Clinton, Maryland 20735

Signed: Frank Purcell
Date Signed: 04/03/2017
Official Committee URL: www.midwife.org/pac

(End FEC FORM 1)

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