FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-897491
1. ALMOST FAMILY INC PAC (AFAM PAC)
9510 ORMSBY STATION ROAD SUITE 300LOUISVILLE, KY 40223
Email: ToddLyles@almostfamily.com
2. Date: 12/06/2013
3. FEC Committee ID #: C00460253 This committee is a separate segregated fund. Its connected organization is a CorporationIn 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# C00521112
SUNCREST HEALTHCARE INC PAC
510 HOSPITAL DRIVE
SUITE 100
MADISON, Tennessee 37115
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
C. Steven Guenthner9510 Ormsby Station Road
Suite 300
Louisville, KY 40223
Title: Custodian of Records
Phone # (502) 891-1000
Treasurer:
C. Steven Guenthner9510 Ormsby Station Road
Suite 300
Louisville, Kentucky 40223
Title: Treasurer
Phone # (502) 891-1000
Designated Agent(s):
Patrick T. Lyles9510 Ormsby Station Road
Suite 300
Louisville, Kentucky 40223
Title: Assistant Treasurer
Phone # (502) 891-1000
Banks or Depositories
J.P. Morgan Chase416 West Jefferson Street, 2nd Fl.
P.O. Box 32500
Louisville, Kentucky 40232