FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-850334
1. AMERICAN ACADEMY OF NURSE PRACTITIONERS POLITICAL ACTION COMMITTEE
NOTE:Commmittee Name is different than previously reported
PO BOX 12846AUSTIN, TX 78711
NOTE: Address is different than previously reported
Email: FINANCE@AANP.ORG2. Date: 01/09/2013
3. FEC Committee ID #: C00358903 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
AMERICAN ASSOCIATION OF NURSE PRACTITIONERSP.O. BOX 12846
AUSTIN, Texas 78711
Affiliated Relationship Code: Connected Organization
Committee ID# C00382440
AMERICAN ASSOCIATION OF NURSE PRACTITI
225 REINEKERS LANE
SUITE 525
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
DEBORAH SMITHEYP.O. BOX 12846
AUSTIN, TX 78711
Title: VP Finance & Mbr
Phone # (512) 442-4262
Treasurer:
MARY ELLEN ROBERTS10 MEADOWBROOK RD.
SHORT HILLS, New Jersey 07078
Title: TREASURER
Phone # (973) 202-1616
Designated Agent(s):
LOUANN BAILEY3060 RAINBOW LANE
RICHFIELD, Ohio 44286
Title: ASST. TREASURER
Phone # (330) 730-6859
Banks or Depositories
CHASE BANK2600 BURNET RD
#200
AUSTIN, Texas 78757