FEC Form 1 for BAYADA NURSES INC US POLITICAL ACTION COMMITTEE (AKA BAYADA US PAC)Form 1 for BAYADA NURSES INC US POLITICAL ACTION COMMITTEE (AKA BAYADA US PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-482281

1. BAYADA NURSES INC US POLITICAL ACTION COMMITTEE (AKA BAYADA US PAC)

290 CHESTER AVENUE
MOORESTOWN, NJ 08057
Email: shutes@cox.net

2. Date: 06/28/2010

3. FEC Committee ID #: C00485433 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Bayada Nurses, Inc. U.S.
290 Chester Avenue
Morristown, New Jersey 08057
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kelli Ann Marans
101 Executive Drive #8
Morristown, NJ 08057
Title: Custodian of Records
Phone # (858) 673-1437

Treasurer:

Angelo Terrana
1875 I Street, NW
Suite 500
Washington, DC 20006
Title: Treasurer
Phone # (202) 365-3749

Designated Agent(s):

Dave Totaro
290 Chester Avenue
Morristown, New Jersey 08057
Title: Assistant Treasurer
Phone # (856) 778-4400

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-482281

1. BAYADA NURSES INC US POLITICAL ACTION COMMITTEE (AKA BAYADA US PAC)

2. Date: 06/28/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Angelo Terrana
Date Signed: 07/15/2010

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-482281

1. BAYADA NURSES INC US POLITICAL ACTION COMMITTEE (AKA BAYADA US PAC)

2. Date: 06/28/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Angelo Terrana Date Signed: 07/15/2010

(End FEC FORM 1)

Signed: Angelo Terrana
Date Signed: 07/15/2010