FEC Form 1 for CARE, Inc. PACForm 1 for CARE, Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-803667

1. CARE, Inc. PAC

NOTE:Commmittee Name is different than previously reported

200 NE 28TH STREET
OKLAHOMA CITY, OK 73105
Email: kassie@careoklahoma.com;dmckee@ctpok.net

2. Date: 08/09/2012

3. FEC Committee ID #: C00522904 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

CARE, Inc.
200 NE 28th Street
Oklahoma City, Oklahoma 73105
Affiliated Relationship Code: Connected Organization

Committee ID# C00006080
AMERICAN HEALTH CARE ASSOCIATION POLIT
1201 L STREET, NW
WASHINGTON, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kassie McCoy
200 NE 28th St
Oklahoma City, OK 73105
Title: Executive Director
Phone # (405) 524-8338

Treasurer:

David Rising
601 W 1st Street
Chandler, Oklahoma 74834
Title: Treasurer
Phone # (405) 831-9480

Designated Agent(s):

Banks or Depositories

BancFirst
PO Box 26788
Oklahoma City, Oklahoma 73112

Signed: David Rising
Date Signed: 08/09/2012
Official Committee URL: www.careoklahoma.com

(End FEC FORM 1)

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