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FEC Form 1 for Alliance for Quality Nursing Home Care Inc. Politlcal Action Committee (AQNHC PAC)Form 1 for Alliance for Quality Nursing Home Care Inc. Politlcal Action Committee (AQNHC PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410118


1. Alliance for Quality Nursing Home Care Inc. Politlcal Action Committee (AQNHC PAC)

    1101 Pennsylvania Avenue, NW
    6th Floor
    Washington, DC 20004
    Email: compliance@aqnhc.org

2. Date: 03/26/2009

3. FEC Committee ID #: C00432336 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

Alliance for Quality Nursing Home Care Inc.
1101 Pennsylvania Avenue, NW
6th Floor
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Alan Rosenbloom
1101 Pennsylvania Avenue, NW
6th Floor
Washington, DC 20004
Title: Treasurer
Phone # (202) 742-6741

Treasurer:

Alan Rosenbloom
1101 Pennsylvania Avenue, NW
6th Floor
Washington, DC 20004
Title: Treasurer
Phone # (202) 742-6741

Designated Agent(s):

Banks or Depositories

PNC Bank, NA
810 Estelle Drive
Lancaster, Pennsylvania 17601

Signed: Alan Rosenbloom
Date Signed: 03/26/2009

(End FEC FORM 1)


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