FEC Form 1 for AMERICAN HEALTH QUALITY ASSOCIATION POLITICAL ACTION COMMITTEE (AHQA-PAC)Form 1 for AMERICAN HEALTH QUALITY ASSOCIATION POLITICAL ACTION COMMITTEE (AHQA-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1183247

1. AMERICAN HEALTH QUALITY ASSOCIATION POLITICAL ACTION COMMITTEE (AHQA-PAC)

7918 JONES BRANCH DRIVE
SUITE 300
MCLEAN, VA 22102
Email: ateitelbaum@ahqa.org;ateitelbaum@ahqa.org

2. Date: 09/19/2017

3. FEC Committee ID #: C00370213 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00370213
AMERICAN HEALTH QUALITY ASSOCIATION POLITICAL ACTION COMMITTEE (AHQA-PAC)
7918 JONES BRANCH DRIVE
SUITE 300
MCLEAN, Virginia 22102
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Alison Teitelbaum
7918 Jones Branch Dr
McLean, VA 22102
Title: Executive Director
Phone # (703) 506-7669

Treasurer:

Alison Teitelbaum
7918 Jones Branch Dr
McLean, Virginia 22102
Title: Executive Director
Phone # (703) 506-7669

Designated Agent(s):

Alison Teitelbaum
7918 Jones Branch Dr
McLean, Virginia 22102

Banks or Depositories

RBC Wealth Management
60 s 6th ST
Minneapolis, Minnesota 55402

Signed: Alison Teitelbaum
Date Signed: 09/21/2017
Official Committee URL: ahqa.org

(End FEC FORM 1)

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