FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-707094
1. Health Industry Distributors Association Political Action Committee (HIDA PAC)
310 Montgomery StreetAlexandria, VA 22314
Email: fishburn@hida.org
2. Date: 01/20/2011
3. FEC Committee ID #: C00486498 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
Health Industry Distributors Association310 Montgomery Street
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Vincent Tallman1950 Roland Clarke Place Ste 300
Reston, VA 20191
Title: Custodian of Records
Phone # (703) 476-3070
Treasurer:
Vincent Tallman1950 Roland Clarke Place Ste 300
Reston, Virginia 20191
Title: Treasurer
Phone # (703) 476-3070
Designated Agent(s):
Lisa Queeney310 Montgomery Street
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 838-6124
Banks or Depositories
Burke & Herbert100 South Fairfax Street
Alexandria, Virginia 22314