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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-781934

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1. National Nurses United for Patient Protection

    8630 Fenton Street, Suite 1100
    Silver Spring, MD 20910

    NOTE: Address is different than previously reported

    Email: hmiller@nationalnursesunited.org

    NOTE: Email address is different than previously reported

2. Date: 05/08/2012

3. FEC Committee ID #: C00490375 This committee is a separate segregated fund. Its connected organization is a Labor Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C30000814
CALIFORNIA NURSES ASSOCIATION/NATIONAL NURSES ORGANIZING COMMITTEE
2000 Franklin Street
Oakland, California 94612
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00446237
NATIONAL NURSES UNITED PAC - A FUND FO
8630 Fenton Street, Suite 1100
Silver Spring, Maryland 20910
Affiliated Relationship Code: Affiliated Committee

National Nurses United
8630 Fenton Street, Suite 1100
Silver Spring, Maryland 20910
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Holly Miller
2000 Franklin Street
Oakland, CA 94612
Title: Dir of Ops & Admin
Phone # (510) 273-2289

Treasurer:

Carolyn Hietamaki
8630 Fenton Street, Suite 1100
Silver Spring, Maryland 20910
Title: Treasurer

Designated Agent(s):

Michael Lighty
2000 Franklin Street
Oakland, California 94612
Title: Assistant Treasurer

Banks or Depositories

JP Morgan Chase Bank
350 20th Street
Oakland, California 94612

Signed: Carolyn Hietamaki
Date Signed: 05/08/2012
Official Committee URL: www.nationalnursesunited.org

(End FEC FORM 1)

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