FEC Form 1 for SUN HEALTHCARE GROUP, INC. POLITICAL ACTION COMMITTEE D/B/A SUN HEALTHCARE P.A.C.Form 1 for SUN HEALTHCARE GROUP, INC. POLITICAL ACTION COMMITTEE D/B/A SUN HEALTHCARE P.A.C.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-841341

1. SUN HEALTHCARE GROUP, INC. POLITICAL ACTION COMMITTEE D/B/A SUN HEALTHCARE P.A.C.

101 Sun Avenue NE
Albuquerque, NM 87109
Email: David.Mason@sunh.com

2. Date: 12/10/2012

3. FEC Committee ID #: C00398826 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00292094
GHC ANCILLARY CORPORATION POLITICAL ACTION COMMITTEE
101 EAST STATE STREET
KENNETT SQUARE, Pennsylvania 19348
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

DAVID MASON
9100 MODESTO AVENUE NE
ALBUQUERQUE, NM 87122
Title: Treasurer
Phone # (505) 468-4101

Treasurer:

DAVID MASON
9100 MODESTO AVENUE NE
ALBUQUERQUE, New Mexico 87122
Title: Treasurer
Phone # (505) 468-4101

Designated Agent(s):

Banks or Depositories

Bank of America
P.O. Box 411809
Kansas City, Missouri 64179

Signed: DAVID MASON
Date Signed: 12/10/2012

(End FEC FORM 1)

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