FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1553993
1. Alliance for Care at the End of Life d/b/a Hospice Action Network PAC (HAN PAC)
1731 King StreetSuite 400
Alexandria, VA 22314
Email: registrationcompliance@venable.com
2. Date: 01/03/2022
3. FEC Committee ID #: C00799072 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
Alliance for Care at the End of Life d/b/a Hospice Action Network1731 King Street
Suite 400
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Cathy Gibney1731 King Street
Suite 400
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 837-1500
Treasurer:
Cathy Gibney1731 King Street
Suite 400
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 837-1500
Designated Agent(s):
Simon Suran1731 King Street
Suite 400
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 837-1500
Banks or Depositories
Atlantic Union BankP.O. Box 940
Ruther Glen, Virginia 22546