FEC Form 1 for Gentiva Health Services Inc PAC GentivaPACForm 1 for Gentiva Health Services Inc PAC GentivaPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-992374

1. Gentiva Health Services Inc PAC GentivaPAC

3350 Riverwood Parkway, Suite 1400
Atlanta, GA 30339
Email: KindredHCPAC@myfecnotices.com

NOTE: Email address is different than previously reported

2. Date: 02/04/2015

3. FEC Committee ID #: C00407080 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Gentiva Health Services Inc
3350 Riverwood Parkway, Suite 1400
Atlanta, Georgia 30339
Affiliated Relationship Code: Connected Organization

Kindred Healthcare, Inc. PAC
680 S Fourth Street
Louisville, Kentucky 40202
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Raymond Sierpina
680 S Fourth Street
Louisville, KY 40202
Title: Custodian of Records
Phone # (502) 596-7956

Treasurer:

Raymond Sierpina
680 S Fourth Street
Louisville, Kentucky 40202
Title: PAC Treasurer
Phone # (502) 596-7956

Designated Agent(s):

Banks or Depositories

Bank of America
PO Box 31900
Tampa, Florida 336313900

Signed: Raymond Sierpina
Date Signed: 02/04/2015

(End FEC FORM 1)

Generated Sat Jul 13 12:27:09 2024