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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1183301

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1. Pennsylvania Homecare Association HomePAC

    600 N 12th Street
    Suite 200
    Lemoyne, PA 17043
    Email: lmishoe@pahomecare.org;jgleeson@pahomecare.org

    NOTE: Email address is different than previously reported

2. Date: 01/04/2016

3. FEC Committee ID #: C00602524 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Pennsylvania Homecare Association
600 N 12th Street
Suite 200
Lemoyne, Pennsylvania 17043
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lauren Mishoe
600 N 12th Street
Suite 200
Lemoyne, PA 17043
Title: Treasurer
Phone # (717) 975-9448

Treasurer:

Lauren Mishoe
600 N 12th Street
Suite 200
Lemoyne, Pennsylvania 17043
Title: Treasurer
Phone # (717) 975-9448

Designated Agent(s):

Vicki Hoak
600 N. 12th Street
Suite 200
Lemoyne, Pennsylvania 17043
Title: CEO
Phone # (717) 975-9448

Banks or Depositories

Metro Bank
1249 Market Street
Lemoyne, Pennsylvania 17043

Signed: Lauren Mishoe
Date Signed: 09/22/2017
Official Committee URL: www.pahomecare.org

(End FEC FORM 1)

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