FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-122542
1. AMERICAN HEALTH QUALITY ASSOCIATION POLITICAL ACTION COMMITTEE (AHQA-PAC)
1155 21st Street NWSuite 202
WASHINGTON, DC 20036
NOTE: Address is different than previously reported
Fax: 2023319334Email: tketch@ahqa.org
2. Date: 06/14/2004
3. FEC Committee ID #: C00370213 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Committee ID# C00370213AMERICAN HEALTH QUALITY ASSOCIATION POLITICAL ACTION COMMITTEE (AHQA-PAC)
1155 21st Street NW
Suite 202
WASHINGTON, DC 20036
Relationship: connected
Organization Type: Trade Association
Custodian of Records:
Todd Ketch1140 Connecticut Ave. NW
Ste. 1050
Washington, DC 20036
Title: VP Govt. Affairs
Phone # (202) 261-7570
Treasurer:
Todd Ketch1140 Connecticut Ave. NW
Ste. 1050
Washington, DC 20036
Title: VP Govt. Affairs
Phone # (202) 261-7570
Designated Agent(s):
Banks or Depositories
United Bank1667 K Street NW
Washington, DC 20006