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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-897480

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1. SunCrest Healthcare, Inc PAC

    510 Hospital Drive
    Suite 100
    Madison, TN 37115
    Email: Outsourcing@Aristotle.com

2. Date: 12/06/2013

3. FEC Committee ID #: C00521112 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

Committee ID# C00460253
ALMOST FAMILY INC PAC (AFAM PAC)
9510 ORMSBY STATION ROAD SUITE 300
Louisville, Kentucky 402235016
Affiliated Relationship Code: Affiliated Committee

SunCrest Healthcare, Inc.
510 Hospital Dr
Madison, Tennessee 371155033
Affiliated Relationship Code: Connected Organization

Custodian of Records:

C. Steven Guenthner
9510 Ormsby Station Road
Suite 300
Louisville, KY 402235016
Title: Custodian of Records
Phone # (502) 891-1000

Treasurer:

C. Steven Guenthner
9510 Ormsby Station Road
Suite 300
Louisville, Kentucky 402235016
Title: Treasurer
Phone # (502) 891-1000

Designated Agent(s):

Patrick T. Lyles
9510 Ormsby Station Road
Suite 300
Louisville, Kentucky 402235016
Title: Assistant Treasurer
Phone # (502) 891-1000

Banks or Depositories

First Tennessee Bank
2315 Gallatin Pike, N.
Madison, Tennessee 37115

Signed: C. Steven Guenthner
Date Signed: 12/16/2013

FORM TEXT

(End FEC FORM 1)

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