FEC Form 1 for BAYADA HOME HEALTH CARE, INC. POLITICAL ACTION COMMITTEE (a.k.a. BAYADA U.S. PAC)Form 1 for BAYADA HOME HEALTH CARE, INC. POLITICAL ACTION COMMITTEE (a.k.a. BAYADA U.S. PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1137698

1. BAYADA HOME HEALTH CARE, INC. POLITICAL ACTION COMMITTEE (a.k.a. BAYADA U.S. PAC)

290 CHESTER AVENUE
MOORESTOWN, NJ 08057
Email: zpacs@cox.net

2. Date: 01/03/2017

3. FEC Committee ID #: C00485433 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Bayada Home Health Care, Inc.
290 Chester Avenue
Moorestown, New Jersey 08057
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Zelda M. Shute
7845 Midday Lane
Alexandria, VA 22306
Title: Custodian of Records
Phone # (703) 795-9703

Treasurer:

Mrs. Shannon G. Gahs
1880 John F. Kennedy Blvd.
Suite 720
Philadelphia, Pennsylvania 191037422
Title: Treasurer
Phone # (267) 592-4855

Designated Agent(s):

Mr. David J. Totaro
290 Chester Ave
Moorestown, New Jersey 08057
Title: Assistant Treasurer
Phone # (856) 231-1000

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1137698

1. BAYADA HOME HEALTH CARE, INC. POLITICAL ACTION COMMITTEE (a.k.a. BAYADA U.S. PAC)

2. Date: 01/03/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mrs. Shannon G. Gahs
Date Signed: 01/09/2017

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1137698

1. BAYADA HOME HEALTH CARE, INC. POLITICAL ACTION COMMITTEE (a.k.a. BAYADA U.S. PAC)

2. Date: 01/03/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mrs. Shannon G. Gahs Date Signed: 01/09/2017

(End FEC FORM 1)

Signed: Mrs. Shannon G. Gahs
Date Signed: 01/09/2017