FEC Form 1 for Physician Hospitals of America Political Action CommitteeForm 1 for Physician Hospitals of America Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1689033

1. Physician Hospitals of America Political Action Committee

2001 K Street NW 3rd Floor North
Washington, DC 20006
Email: compliance@rightsidecompliance.com

NOTE: Email address is different than previously reported

2. Date: 04/02/2022

3. FEC Committee ID #: C00394163 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

Physician Hospitals of America
2001 K Street NW 3rd Floor North
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacie Monroe
2001 K Street NW 3rd Floor North
Washington, DC 20006
Title: Treasurer
Phone # (715) 338-8544

Treasurer:

Stacie Monroe
2001 K Street NW 3rd Floor North
Washington, DC 20006
Title: Treasurer
Phone # (715) 338-8544

Designated Agent(s):

Cabell Hobbs
2001 K Street NW 3rd Floor North
Washington, DC 20003
Title: Assistant Treasurer

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1689033

1. Physician Hospitals of America Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 04/02/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Stacie Monroe
Date Signed: 02/15/2023

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1689033

1. Physician Hospitals of America Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 04/02/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Stacie Monroe Date Signed: 02/15/2023

(End FEC FORM 1)

Signed: Stacie Monroe
Date Signed: 02/15/2023