FEC Form 1 for HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)Form 1 for HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1735710

1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

750 9th Street, NW
Suite 650
WASHINGTON, DC 20001

NOTE: Address is different than previously reported

Email: info@supplychainassociation.org;tebert@supplychainassociation.org

2. Date: 11/16/2023

3. FEC Committee ID #: C00423863 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

Healthcare Supply Chain Association
750 9th Street, NW
Suite 650
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Todd C Ebert
750 9th Street, NW
Suite 650
Washington, DC 20001
Title: Treasurer
Phone # (202) 629-5835

Treasurer:

Todd C Ebert
750 9th Street, NW
Suite 650
Washington, DC 20001
Title: Treasurer
Phone # (202) 629-5835

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1735710

1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

NOTE: Address is different than previously reported

2. Date: 11/16/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Todd C Ebert
Date Signed: 11/16/2023

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1735710

1. HEALTHCARE SUPPLY CHAIN ASSOCIATION POLITICAL ACTION COMMITTEE (HSCA PAC)

NOTE: Address is different than previously reported

2. Date: 11/16/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Todd C Ebert Date Signed: 11/16/2023

(End FEC FORM 1)

Signed: Todd C Ebert
Date Signed: 11/16/2023