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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1306972

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1. Pennsylvania Homecare Association HomePAC (a.k.a. HomePAC)

    NOTE:Commmittee Name is different than previously reported

    600 N 12th Street
    Suite 200
    Lemoyne, PA 17043
    Email: lrohler@pahomecare.org;zpacs@cox.net

    NOTE: Email address is different than previously reported

2. Date: 01/24/2019

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

Affiliated Committees/Organizations

Committee ID# C00602524
Pennsylvania Homecare Association HomePAC (a.k.a. HomePAC)
600 N 12th Street
Suite 200
Lemoyne, Pennsylvania 17043
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lesya Rohler
600 N. 12th Street
Suite 200
Lemoyne, PA 17043
Title: Custodian of Records
Phone # (717) 975-9448

Treasurer:

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

Designated Agent(s):

Vicki Hoak
1560 Slate Hill Rd
Camp Hill, Pennsylvania 17011
Title: CEO
Phone # (717) 975-9448

Banks or Depositories

Metro Bank
1249 Market Street
Lemoyne, Pennsylvania 17043

Signed: Lesya Rohler
Date Signed: 01/25/2019

(End FEC FORM 1)

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