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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-972681


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

    1725 I Street, NW
    Suite 300
    WASHINGTON, DC 20006

    NOTE: Address is different than previously reported

    Email: tketch@ahqa.org

    NOTE: Email address is different than previously reported

2. Date: 11/10/2014

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

American Health Quality Association
1725 I Street, NW
Suite 300
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Todd Ketch
1725 I Street, NW
Ste. 300
Washington, DC 20006
Title: Executive Director
Phone # (202) 331-5790

Treasurer:

Todd Ketch
1725 I Street, NW
Ste. 300
Washington, DC 20006
Title: Executive Director
Phone # (202) 331-5790

Designated Agent(s):

Banks or Depositories

United Bank
1667 K Street, NW
Washington, DC 20006

Signed: Todd Ketch
Date Signed: 11/10/2014

(End FEC FORM 1)


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