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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1266206

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1. BrightSpring Legacy Fund

    NOTE:Commmittee Name is different than previously reported

    657 S. Hurstbourne Pkwy #267
    Louisville, KY 40222

    NOTE: Address is different than previously reported

    Email: Ryan.Green@BrightSpringHealth.com

    NOTE: Email address is different than previously reported

2. Date: 10/08/2018

3. FEC Committee ID #: C00344663 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Res-Care, Inc. DBA BrightSpring Health Services
657 S. Hurstbourne Pkwy #267
Louisville, Kentucky 40222
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Daryn Demeritt
657 S. Hurstbourne Pkwy #267
Louisville, KY 40222
Phone # (502) 420-2605

Treasurer:

Daryn Demeritt
657 S. Hurstbourne Pkwy #267
Louisville, Kentucky 40222
Title: Treasurer
Phone # (502) 630-7394

Designated Agent(s):

Sherry Pemberton
657 S. Hurstbourne Pkwy #267
Louisville, Kentucky 40222
Title: Chairperson
Phone # (502) 394-2321

Banks or Depositories

PNC Bank
9700 Linn Station Road
Louisville, Kentucky 40223

Signed: Daryn Demeritt
Date Signed: 10/08/2018

FORM TEXT-1

(End FEC FORM 1)

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