FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1482847
1. PRIVATE CARE ASSOCIATION POLITICAL ACTION COMMITTEE, THE
PO Box 0911Southern Pines, NC 28388
Email: habegg@wc-b.com
2. Date: 12/08/2014
3. FEC Committee ID #: C00498154 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Private Care Association4700 NW 2nd Avenue
Fourth Floor
Boca Raton, Florida 33431
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Joseph Bensmihen5300 West Atlantic Avenue
Suite 102
Delray Beach, FL 33484
Title: Custodian
Phone # (561) 289-9495
Treasurer:
Joseph Bensmihen5300 West Atlantic Avenue
Suite 102
Delray Beach, Florida 33484
Title: Treasurer
Phone # (561) 289-9495
Designated Agent(s):
Banks or Depositories
Wells Fargo980 North Federal Highway
Boca Raton, Florida 33432