National Nurses United for Patient Protection

888 le"" street, NW

Suite 640
Washington, DC 20006

September 30, 2010

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Federal Election Commission

999 E Street, NW
Washington, DC 20463

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RE:

Form 1, Statement of Organization - Unlimited Contributions

To Whom It May Concern:

This Committee intends to make independent expenditures and, consistent with the U.S. Court of
Appeals for the District of Columbia Circuit decision in SpechNow v. FEC, it therefore intends to raise
funds in unlimited amounts. This Committee will not use those funds to make contributions, whether
direct, in-kind, or via coordinated communications, to federal candidate or committees.
^Respectfully submitti
\

Carolyn Fnetamaki
Treasurer

RECEIVED

1.

FEC MAIL CENTER

STATEMENT OF
ORGANIZATION

FEC
FORM 1

(See instructions)

Office use only

(Checl< if name
is clianged)

NAME OF
COMMITTEE (in full)

^ ^|at^or^al ^Nijrsp ^Ur^ite^d ^or^Pg|tient^Prpt^ct|orj

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(Check if address
is changed)

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88816th Street, NW

A D D R E S S (number and street)

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Example: If typying, type

over the lines

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STATE A.

CITY,

ZIP CODE A.

COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address)

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^Pheck if address

(Check If address
is changed)

raquino@nationalnursesunited.org
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COMMITTEE'S W E B P A G E A D D R E S S (URL)

www.nationalnursesunited.org

if address
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(c(Check
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is changed)

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2.

DATE

3.

FECIDENTIFICATION NUMBER

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4.

IS THIS STATEMENT

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NEW(N)

OR

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AMENDED (A)

I certify that I have examined this Statement and to the best of my knowledge and belief it is true, con-ect and complete

Type or Print Name of Treasurer

Signature of Treasurer

Carolyiyljietamalti

Electronically Filed by-Carolyn H i ^ m > k i

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NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. 437g.
A N Y C H A N G E IN INFORMATION SHOULD B E R E P O R T E D WITHIN 10 D A Y S

Office
Use
Only

For further information contact:

Federal Election Commission
Toll Free 800-424-9530
Local 202-694-1100

FEC FORM 1
(Revised 02/2009)

FEC
5.

F o r m i (Revised 02/2009)

Page 2

TYPE OF COMMITTEE (Check One)

Candidate Committee:

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(a)

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This committee is a principal campaign committee. (Complete the candidate infonnation below.)

(b)

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This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate
information below.)

Name of
Candidate

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Candidate
Party Affiliation

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Office
Sought:

Senate

House

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CD

State
President
District

This committee supports/opposes only one candidate, and is NOT an authorized committee.

(c)
Name of

Candidate

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Party Committee:
(d)

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C J This committee is a

(National, State
(or subordinate) committee of the

(Democratic,
Republican.etc.) Party.

Political Action Committee (PAC):

(e)
I X l This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:

I Corporation w/o Capital Stock

Corporation.

Trade Association

1 ^ Membership Organization

X|

Labor Organization
Cooperative

|x j In addition, this committee is a Lobbyist/Registrant PAC.

(f)

This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party
committee, (i.e., nonconnected committee)
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In addition, this committee is a Lobbyist/Registrant PAC.

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I In addition, this committee is a Leadership PAC. (identify sponsor on line 6.)

Joint Fundraising Representative:

(g)

(h)

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This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
committees/organizations, at least one of which is an authorized committee of a federal candidate.

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This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
committees/organizations, none of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

|W~..;j....;i.^

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FEC ID number

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FEC ID number

FEC ID number

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FEC ID number

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FEC Form 1 (Revised 02/2009)

Pages

Write or Type Committee Name

National Nurses United for Patient Protection

6.

Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor
C/[iLipO}RNi/^ N^F^S^S A^SOCIAT[IONW;ri(j)N^L NURSES pF^G;>LNI^ir]IG,C01V^IVIi;rTE^
I I I I I I I I I I I

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2000 FRANKLIN STREET SUITE 300

Mailing Address
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CITYA

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ZIP CODE A

STATEA

Relationship:
Q

7.

Connected Organization

Q Affiliated Committee

Q Joint Fundraising Representative L | Leadership PAC Sponsor

Custodian of Records: Identify by nanne, address, (phone number ~ optional), and position of the person in
possession of Committee books and records.
Full Name

Rosalia Aquino
I I i l I T I

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I I I I I I I I I I I I

2000 Franldin Street

Mailing Address

CA

Oakland
Title or Position V

CITYA

Controller

8.

I I I I I I I I I I I I

94612 _
ZIP CODE 4

STATEA
Telephone number 510

433 -

2739

Treasurer: List the name and address (phone number - optional) of the treasurer of the committee; and the
name and address of any designated agent (e.g., assistant treasurer).
Full Name
of Treasurer

Carolyn Hietamaki
888 16th Street, NW

Mailing Address

Suite 640
Washington
Title or Position V
Treasurer

CITYA

DC
STATEA

Telephone number

20006
ZIP CODE 1

FEC Form 1 (Revised 02/2009)

Full Name of
Designated
Agent

Page 4

iVIichaei Lighty

2000 Franklin Street

Mailing Address

CA

Oakland
Title or Position V

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STATE A

CITYA

Assistant Treasurer

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9.

94612

ZIP CODE A

Telephone number

Banks or Other Depositories:

List all banks or other depositories in which the committee deposits funds, holds accounts, rents
safety deposit boxes or maintains funds.
Name of Bank, Depository, etc.
JP Morgan Chase Bank
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350 20th Street

Mailing Address

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CITY A

ZIP CODE A

STATE

Name of Bank, Depository, etc.

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Mailing Address

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CITY A

STATED

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ZIP CODE A

FEC Form 1 (Revised 02/2009)

Page 5

Banks or Other Depositories:

List all banks or other depositories in which the committee deposits funds, holds accounts, rents
safety deposit boxes or maintains funds.
Name of Bank, Depository, etc.
[ ADDITIONAL ]
J

Mailing Address

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CITY ^

STATED

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ZIP CODE A

[ADDITIONAL]
Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor
^N>|iTiprjlA^. NUIj^S^S, Ur^lT^Ep P^Cj - ^ FjUl^D F^R^A HEALThjIY ^B/|ERICA
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Mailing Address

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Suite 640
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Washington
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Connected Organization

1 xii Affiliated Committee

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ZIP CODE A

1 I Joint Fundraising Representative 1 | Leadership PAC Sponsor

[ADDITIONAL]

Designated Agent
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Full Name

20006

STATEA

CITYA

Relationship:

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Kristin Lynch
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888 16th Street

Mailing Address

Suite 640
DC

Washington
Title or Position V

20006 _

STATE/.

CITYA

ZIP CODE 1

Director
Telephone number

[ADDITIONAL]

Joint Fundraiser Participant

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FEC ID number

30i

FEC Form 1 (Revised 02/2009)

Page 6

Banks or Other Depositories:

List all banks or other depositories in which the committee deposits funds, holds accounts, rents
safety deposit boxes or maintains funds.
Name of Bank. Depository, etc.
[ ADDITIONAL ]
l

Mailing Address
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CiTY ^

ZIP CODE A

STATE .A

[ADDITIONAL]
Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor
1 ^N^tic|nal Nur^e^ Ljnited^
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1 1 1 1 1 1 1 1 1 1 1

1 1 1 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1

1 1 1 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1

Mailing Address

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1

1 Suite 640

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1 1 1 1 1 1 1 1 1 i 1

1 Washington

1 1 1 1 1 1 1 1 1 1 1

CITYA

Relationship:
Connected Organization

1 1 1 1 1 1 1 1

1 DC ,

III

1 1 1 1 1 I-I

STATEA

1 1 11

Leadership PAC Sponsor

[ ADDITIONAL ]

Designated Agent
1 IVIartha Kuhl
FiillNannP

1 1

ZIP CODE A

Joint Fundraising Representative U

Affiliated Committee

20006

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1

888 16th Street, NW

Mailing Address

Suite 640
DC

Washington
Title or Position V

CITY A

20006

STATEA

ZIP CODE 1

Secretary-Treasurer
Telephone number

[ADDITIONAL]

Joint Fundraiser Participant

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FEC ID number

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Federal Election Commission

ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS
The FEC added this page to the end of this filing to indicate how it was received.
Date of Receipt
Hand Delivered
Postmarked
USPS First Class Mail
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USPS Registered/Certified
Postmarked
USPS Priority Mail
Delivery Confirmation or Signature Confirmation Label |
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USPS Express Mail

Postmark Illegible

No Postmark
Shipping Date
Overnight Delivery Service (Specify):

/o /IJ /)o
Next Business Day Delivery I
Date of Receipt

Received from House Records & Registration Office

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Other (Specify):

/o/^:r//o
PREPARER
(3/2005)

DATE PREPARED