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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-441080


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

    1350 Connecticut Avenue NW
    Suite 900
    Washington, DC 20036

    NOTE: Address is different than previously reported

    Email: compliance@aqnhc.org

2. Date: 12/01/2009

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.
1350 Connecticut Avenue NW
Suite 900
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Alan Rosenbloom
1350 Connecticut Avenue NW
Suite 900
Washington, DC 20036
Title: Treasurer
Phone # (202) 459-6310

Treasurer:

Alan Rosenbloom
1350 Connecticut Avenue NW
Suite 900
Washington, DC 20036
Title: Treasurer
Phone # (202) 459-6310

Designated Agent(s):

Banks or Depositories

PNC Bank, NA
810 Estelle Drive
Lancaster, Pennsylvania 17601

Signed: Alan Rosenbloom
Date Signed: 12/01/2009

(End FEC FORM 1)


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