FEC Form 1 for Alliance for Care at the End of Life d/b/a Hospice Action Network PAC (HAN PAC)Form 1 for Alliance for Care at the End of Life d/b/a Hospice Action Network PAC (HAN PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1621701

1. Alliance for Care at the End of Life d/b/a Hospice Action Network PAC (HAN PAC)

1731 King Street
Suite 400
Alexandria, VA 22314
Email: registrationcompliance@venable.com

2. Date: 04/20/2022

3. FEC Committee ID #: C00799072 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Alliance for Care at the End of Life d/b/a Hospice Action Network
1731 King Street
Suite 400
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cathy Gibney
1731 King Street
Suite 400
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 837-1500

Treasurer:

Cathy Gibney
1731 King Street
Suite 400
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 837-1500

Designated Agent(s):

Simon Suran
1731 King Street
Suite 400
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 837-1500

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1621701

1. Alliance for Care at the End of Life d/b/a Hospice Action Network PAC (HAN PAC)

2. Date: 04/20/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Cathy Gibney
Date Signed: 08/05/2022

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1621701

1. Alliance for Care at the End of Life d/b/a Hospice Action Network PAC (HAN PAC)

2. Date: 04/20/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Cathy Gibney Date Signed: 08/05/2022

(End FEC FORM 1)

Signed: Cathy Gibney
Date Signed: 08/05/2022