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FEC Form 1 for American Association of Nurse Practitioners Political Action Committee PAC 2Form 1 for American Association of Nurse Practitioners Political Action Committee PAC 2

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-845604


1. American Association of Nurse Practitioners Political Action Committee PAC 2

    NOTE:Commmittee Name is different than previously reported

    PO Box 12846
    Austin, TX 78711

    NOTE: Address is different than previously reported

    Email: FINANCE@AANP.ORG

    NOTE: Email address is different than previously reported

2. Date: 01/09/2013

3. FEC Committee ID #: C00382440 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American Association of Nurse Practitioners
PO Box 12846
Austin, Texas 78711
Affiliated Relationship Code: Connected Organization

American Association of Nurse Practiti
PO Box 12846
Austin, Texas 78711
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

PAC Outsourcing LLC
6192 Oxon Hill Rd
Suite 601
Oxon Hill, MD 207453140
Title: Custodian of Records
Phone # (301) 839-6510

Treasurer:

Wade S, Williams
6192 Oxon Hill Rd
Suite 601
Oxon Hill, Maryland 20745
Title: Treasurer
Phone # (301) 839-6510

Designated Agent(s):

David Hebert
225 Reinekers Lane
Suite 525
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 740-2529

Timm Fuller
PO Box 12846
Austin, Texas 78711
Title: Director of Finance
Phone # (512) 276-5908

Banks or Depositories

Bank of America
6011 Oxon Hill Rd
Oxon Hill, Maryland 20745

Chase
7600 Burnet Rd
Suite 200
Austin, Texas 75757

Signed: Wade S, Williams
Date Signed: 01/09/2013

(End FEC FORM 1)


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