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FEC Form 1 for LHC Group, Inc. PACForm 1 for LHC Group, Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1404305


1. LHC Group, Inc. PAC

    NOTE:Commmittee Name is different than previously reported

    420 W. Pinhook Road
    Suite A
    LAFAYETTE, LA 70503
    Email: trudygclement@gmail.com

2. Date: 11/08/2019

3. FEC Committee ID #: C00382796 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

Louisiana Health Care Group, Inc.
420 W. Pinhook Road
Suite A
Lafayette, Louisiana 70503
Affiliated Relationship Code: Connected Organization

Committee ID# C00460253
ALMOST FAMILY INC PAC (AFAM PAC)
9510 ORMSBY STATION ROAD SUITE 300
LOUISVILLE, Kentucky 40223
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Trudy Clement
701 Bayou Lane
Thibodaux, LA 70301
Phone # (985) 446-7320

Treasurer:

Albert Simien
111 Shadowbrook Lane
Youngsville, Louisiana 70592
Title: Treasurer
Phone # (985) 446-7320

Designated Agent(s):

Harold Taylor
252 Purple Dawn Drive
Sunset, Louisiana 70584
Title: Officer
Phone # (985) 446-7320

Banks or Depositories

Capital One Bank
3527 W Pinhook Rd
Lafayette, Louisiana 70503

Signed: Albert Simien
Date Signed: 05/05/2020

FORM TEXT-1

(End FEC FORM 1)


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