FEC Form 1 for ALMOST FAMILY INC PAC (AFAM PAC)Form 1 for ALMOST FAMILY INC PAC (AFAM PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1362096

1. ALMOST FAMILY INC PAC (AFAM PAC)

9510 ORMSBY STATION ROAD SUITE 300
LOUISVILLE, KY 40223
Email: toddlyles@almostfamily.com;jkahl@wtplaw.com

2. Date: 11/08/2019

3. FEC Committee ID #: C00460253 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

Almost Family, Inc.
9510 Ormsby Station Road
Suite 300
Louisville, Kentucky 40223
Affiliated Relationship Code: Connected Organization

Committee ID# C00382796
Louisiana Health Care Group Employee F
420 W. Pinhook Road
Suite A
Lafayette, Louisiana 70503
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Steven C Guenthner
9510 Ormsby Station Rd.,
Ste. 300
Louisville, KY 40223
Title: Custodian of Records
Phone # (502) 891-1000

Treasurer:

Steven C Guenthner
9510 Ormsby Station Rd.,
Ste. 300
Louisville, Kentucky 40223
Title: Treasurer
Phone # (502) 891-1000

Designated Agent(s):

Patrick T. Lyles
9510 Ormsby Station Road
Suite 300
Louisville, Kentucky 40223
Title: Assistant Treasurer
Phone # (502) 891-1000

Banks or Depositories

JPMorgan Chase Bank
416 West Jefferson Street, 2nd Flr
P.O. Box 32500
Louisville, Kentucky 40232

Signed: Steven C Guenthner
Date Signed: 11/08/2019

FORM TEXT-1

(End FEC FORM 1)

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