FEC Form 1 for Vote Nurses Values Political Action Committee: California Nurses AssociationForm 1 for Vote Nurses Values Political Action Committee: California Nurses Association

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1366591

1. Vote Nurses Values Political Action Committee: California Nurses Association

555 Capitol Mall
Suite 400
Sacramento, CA 95814
Email: info@olsonhagel.com

2. Date: 12/17/2019

3. FEC Committee ID #: C00731372 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

California Nurses Association
155 Grand Avenue
Oakland, California 94612
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Richard R Rios
555 Capitol Mall
Suite 400
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-2952

Treasurer:

Stephanie Roberson
770 L Street
Suite 1480
Sacramento, California 95814
Title: Treasurer
Phone # (916) 446-5019

Designated Agent(s):

Elizabeth Devlin
155 Grand Avenue
Oakland, California 94612
Title: Assistant Treasurer
Phone # (916) 446-5019

Banks or Depositories

Wells Fargo Bank
400 Capitol Mall
Sacramento, California 95814

Signed: Stephanie Roberson
Date Signed: 12/17/2019

FORM TEXT-1

(End FEC FORM 1)

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