FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-477536
1. GENESIS HEALTHCARE CORPORATION POLITICAL ACTION COMMITTEE
101 EAST STATE STREETKENNETT SQUARE, PA 19348
Email: Laurence.Lane@genesishcc.com
2. Date: 07/07/2010
3. FEC Committee ID #: C00292094 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
NONE, ____
Custodian of Records:
Treasurer:
, ____
Designated Agent(s):
Banks or Depositories
Wachovia Bank400 Scarlett Road
Kennett Square, Pennsylvania 19348