FEC Form 1 for LOUISIANA HEALTH CARE GROUP EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE INCForm 1 for LOUISIANA HEALTH CARE GROUP EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE INC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1304355

1. LOUISIANA HEALTH CARE GROUP EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE INC

420 W. Pinhook Road
Suite A
LAFAYETTE, LA 70503
Email: trudygclement@gmail.com

NOTE: Email address is different than previously reported

2. Date: 11/18/2010

3. FEC Committee ID #: C00382796 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Louisiana Health Care Group, Inc.
420 W. Pinhook Road
Suite A
Lafayette, Louisiana 70503
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Trudy Clement
701 Bayou Lane
Thibodaux, LA 70301
Phone # (985) 446-7320

Treasurer:

Albert Simien
111 Shadowbrook Lane
Youngsville, Louisiana 70592
Title: Treasurer
Phone # (985) 446-7320

Designated Agent(s):

Harold Taylor
252 Purple Dawn Drive
Sunset, Louisiana 70584
Title: Officer
Phone # (985) 446-7320

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1304355

1. LOUISIANA HEALTH CARE GROUP EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE INC

NOTE: Email address is different than previously reported

2. Date: 11/18/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Albert Simien
Date Signed: 01/14/2019

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1304355

1. LOUISIANA HEALTH CARE GROUP EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE INC

NOTE: Email address is different than previously reported

2. Date: 11/18/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Albert Simien Date Signed: 01/14/2019

(End FEC FORM 1)

Signed: Albert Simien
Date Signed: 01/14/2019