FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-806504
1. Alliance for Quality Nursing Home Care Inc. Political Action Committee (AQNHC PAC)
1350 Connecticut Avenue NWSuite 900
Washington, DC 20036
Email: AlliancePAC@myfecnotices.com
NOTE: Email address is different than previously reported
2. Date: 02/01/2012
3. FEC Committee ID #: C00432336 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn 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 Rosenbloom1350 Connecticut Avenue NW
Suite 900
Washington, DC 20036
Title: Treasurer
Phone # (202) 459-6310
Treasurer:
Alan Rosenbloom1350 Connecticut Avenue NW
Suite 900
Washington, DC 20036
Title: Treasurer
Phone # (202) 459-6310
Designated Agent(s):
Banks or Depositories
SunTrust Bank25 Park Place
Atlanta, Georgia 30303