FEC Form 1 for Genesis Healthcare Inc PACForm 1 for Genesis Healthcare Inc PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-996375

1. Genesis Healthcare Inc PAC

NOTE:Commmittee Name is different than previously reported

101 EAST STATE STREET
KENNETT SQUARE, PA 19348
Email: Laurence.Lane@genesishcc.com

2. Date: 03/10/2015

3. FEC Committee ID #: C00292094 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

Committee ID# C00292094
Genesis Healthcare Inc.
101 East State Street
Kennett Square, Pennsylvania 19348
Affiliated Relationship Code: Connected Organization

Custodian of Records:

LAURENCE F LANE
1616 STEPHENS DRIVE
WAYNE, PA 19087
Title: VP Gov Relations
Phone # (610) 444-8430

Treasurer:

LAURENCE F LANE
1616 STEPHENS DRIVE
WAYNE, Pennsylvania 19087

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
400 Scarlett Road
Kennett Square, Pennsylvania 19348

Signed: LAURENCE F LANE
Date Signed: 03/10/2015

(End FEC FORM 1)

Generated Thu Oct 3 18:24:14 2024