Generated On: 6/14/2010 4:15:46 PM

Verified Statement Registration VSR

(Out-of-State Committee)

8588
Skilled Healthcare Group Inc. PAC
27442 Portola ParkwaySte 200
Foothill Ranch, CA 92610
949-282-5885
jsadayasu@skilledhealthcare.com
to make contributions from our federal PAC
Contact

Last Name: Sadayasu First Name: Jon MI:

Address: 27442 Portola Parkway Ste 200
City: Foothill Ranch State: CA Zip Code: 92610 Phone: 949-282-5885
E-Mail: jsadayasu@skilledhealthcare.com

Parent Entity

Name: Skilled Healthcare Group, Inc.

Address: 27442 Portola Parkway, Ste 200
City: Foothill Ranch State: CA Zip Code: 92610 Phone: 949-282-5885
E-Mail:

Jurisdiction

Name: Federal Election Commission

Address: 999 E. Street, NW
City: Washington State: DC Zip Code: 20463 Phone: 800-424-9530
E-Mail:

Iowa Resident Agent

Last Name: Hanson First Name: Gregg MI:

Address: 1006 Acorn Lane
City: Muscatine State: IA Zip Code: 52761 Phone: 563-263-2194
E-Mail:

2010 - Iowa Committees Receiving Contributions

Contribution
Date Committee Amount Check #
5/18/2010 Iowa Health PAC (6067) $576.00 1027
1775 90th Street
West Des Moines, IA 50266

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1