FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-994629
1. HCR MANOR CARE PAC
333 NORTH SUMMIT STREET16TH FLOOR
TOLEDO, OH 43604
Email: kejackson@hcr-manorcare.com;seilert@hcr-manorcare.com
2. Date: 02/20/2015
3. FEC Committee ID #: C00260141 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
HCR ManorCare, Inc.333 North Summit
16th Floor
Toledo, Ohio 43604
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Steven Eilert333 North Summit Street
Toledo, OH 43604
Title: Senior Accountant
Phone # (419) 252-5645
Treasurer:
Mr. Kevin Jackson333 North Summit Street
16th Floor
Toledo, Ohio 436042617
Title: Senior Manager AP
Phone # (419) 254-5434
Designated Agent(s):
Banks or Depositories
The Huntington National BankP.O. Box 5065
Cleveland, Ohio 441010065