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FEC Form 1 for HCR MANOR CARE PACForm 1 for HCR MANOR CARE PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1151301


1. HCR MANOR CARE PAC

    333 NORTH SUMMIT STREET
    16TH FLOOR
    TOLEDO, OH 43604
    Email: seilert@hcr-manorcare.com;rknab@hcr-manorcare.com

    NOTE: Email address is different than previously reported

2. Date: 03/03/2017

3. FEC Committee ID #: C00260141 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Steven Eilert
333 North Summit Street
Toledo, OH 43604
Title: Senior Accountant
Phone # (419) 252-5645

Treasurer:

Steven Eilert
333 North Summit Street
Toledo, Ohio 43604
Title: Senior Accountant
Phone # (419) 252-5645

Designated Agent(s):

Banks or Depositories

The Huntington National Bank
P.O. Box 5065
Cleveland, Ohio 441010065

Signed: Steven Eilert
Date Signed: 03/03/2017

(End FEC FORM 1)


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