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FEC Disclosure Form 1M for GENTIVA HEALTH SERVICES INC PAC GENTIVAPACForm 1M for GENTIVA HEALTH SERVICES INC PAC GENTIVAPAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-217482


1. GENTIVA HEALTH SERVICES INC PAC GENTIVAPAC

3 HUNTINGTON QUADRANGLE SUITE 200S
MELVILLE, NY 11747

2. FEC Committee ID #: C00407080

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: -
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:


NameOffice SoughtState/DistrictDate
(i) MELISSA HART
House of Representatives
Pennsylvania/04
06/21/2005
(ii) ED WHITFIELD
House of Representatives
Kentucky/01
06/21/2005
(iii) MICHAEL J ROGERS
House of Representatives
Michigan/08
12/16/2005
(iv) CHARLES E GRASSLEY
Senate
Iowa/00
12/19/2005
(v) RICHARD J SANTORUM
Senate
Pennsylvania/00
12/02/2005

(b) Contributors: The committee received a contribution from its 51st contributor on: 05/24/2005

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 10/13/2004

(d) Qualification: The committee met the above requirements on: 12/28/2005

Treasurer: John Potapchuk
Date Signed: 05/15/2006

(End FEC FORM 1M)


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