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

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-136359

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

1155 21st Street NW
Suite 202
WASHINGTON, DC 20036

2. FEC Committee ID #: C00370213

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: -
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)	BLANCHE LAMBERT LINCOLN	Senate	Arkansas/00	02/12/2003
(ii)	Charles Grassley	Senate	Iowa/00	10/16/2003
(iii)	Nancy Johnson	House of Representatives	Connecticut/05	05/20/2004
(iv)	Edolphus Towns	House of Representatives	New York/10	05/20/2004
(v)	WILLIAM MARSHALL THOMAS	House of Representatives	California/22	09/30/2004

(b) Contributors: The committee received a contribution from its 51st contributor on: 11/28/2003

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 11/19/2001

(d) Qualification: The committee met the above requirements on: 09/30/2004

Treasurer: Todd Ketch
Date Signed: 09/30/2004

(End FEC FORM 1M)

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