CC Lake Inc

Enrollment entity
Provider / enrollment organization Enrollment PAC 3678586880 Enrollment ID O20060710000268

Details

Linked facilitiesFacilities
1
StatesStates
1

29 parties: 14 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Sarah Watson8729562830IndividualOperational/Managerial Control; ADP of the SNF
Mansoor Syed Ali5092046805IndividualOperational/Managerial Control; ADP of the SNF
Claudia Antal6800370917IndividualOperational/Managerial Control
Bridget Williams4981077294IndividualOperational/Managerial Control; ADP of the SNF
Carrie Schroeder1759715022IndividualOperational/Managerial Control; ADP of the SNF
Melissa G Evraets7113279084IndividualOperational/Managerial Control; ADP of the SNF
Cary Maslow0941213151IndividualOperational/Managerial Control; ADP of the SNF
Tomek Koszylko4587162730IndividualOperational/Managerial Control; ADP of the SNF
Classic Residence Management Limited Partnership8123098779OrganizationOperational/Managerial Control; ADP of the SNF
CC-DEVELOPMENT Group, Inc.2860462413Organization5% or Greater Direct Ownership Interest100
Margot and Tom Pritzker Foundation5799283933Organization5% or Greater Indirect Ownership Interest10.24
P. G. - Karen Trust7315194669Organization5% or Greater Indirect Ownership Interest8.82
Pritzker Pucker Family Foundation No. 26608374848Organization5% or Greater Indirect Ownership Interest8.63
P. G. - Nicholas Trust5698922938Organization5% or Greater Indirect Ownership Interest5.99
P. G. - Daniel Trust2961659214Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Don #3 Trust1951558204Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Jim Trust3870740129Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Johnny Trust7416104765Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Linda Trust6507013851Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Tony Trust9133376486Organization5% or Greater Indirect Ownership Interest5.42
Thomas J Muszynski2466734314IndividualCorporate Officer; Corporate Director; ADP of the SNF0
Tara Cope4688858756IndividualCorporate Officer; ADP of the SNF0
Gary Smith8022088681IndividualCorporate Officer; Corporate Director; ADP of the SNF0
John Poorman3577533132IndividualCorporate Officer; Corporate Director0
Unknown party2264916360OrganizationADP of the SNF
Show all 29 parties (4 more)
NameOwner/control PACTypeRole(s)%
Sarah Watson8729562830IndividualOperational/Managerial Control; ADP of the SNF
Mansoor Syed Ali5092046805IndividualOperational/Managerial Control; ADP of the SNF
Claudia Antal6800370917IndividualOperational/Managerial Control
Bridget Williams4981077294IndividualOperational/Managerial Control; ADP of the SNF
Carrie Schroeder1759715022IndividualOperational/Managerial Control; ADP of the SNF
Melissa G Evraets7113279084IndividualOperational/Managerial Control; ADP of the SNF
Cary Maslow0941213151IndividualOperational/Managerial Control; ADP of the SNF
Tomek Koszylko4587162730IndividualOperational/Managerial Control; ADP of the SNF
Classic Residence Management Limited Partnership8123098779OrganizationOperational/Managerial Control; ADP of the SNF
CC-DEVELOPMENT Group, Inc.2860462413Organization5% or Greater Direct Ownership Interest100
Margot and Tom Pritzker Foundation5799283933Organization5% or Greater Indirect Ownership Interest10.24
P. G. - Karen Trust7315194669Organization5% or Greater Indirect Ownership Interest8.82
Pritzker Pucker Family Foundation No. 26608374848Organization5% or Greater Indirect Ownership Interest8.63
P. G. - Nicholas Trust5698922938Organization5% or Greater Indirect Ownership Interest5.99
P. G. - Daniel Trust2961659214Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Don #3 Trust1951558204Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Jim Trust3870740129Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Johnny Trust7416104765Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Linda Trust6507013851Organization5% or Greater Indirect Ownership Interest5.42
P. G. - Tony Trust9133376486Organization5% or Greater Indirect Ownership Interest5.42
Thomas J Muszynski2466734314IndividualCorporate Officer; Corporate Director; ADP of the SNF0
Tara Cope4688858756IndividualCorporate Officer; ADP of the SNF0
Gary Smith8022088681IndividualCorporate Officer; Corporate Director; ADP of the SNF0
John Poorman3577533132IndividualCorporate Officer; Corporate Director0
Unknown party2264916360OrganizationADP of the SNF
Unknown party9537643630OrganizationADP of the SNF
Unknown party7618451725IndividualADP of the SNF
Unknown party0648754754IndividualADP of the SNF
Unknown party1557845658IndividualADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
VI at the Glen
CC Lake Inc
36 residents
Other disclo…
4.54Ovr★★★★★Stf★★★★★Ins★★★★★QM★★★★★36
  • CC Lake Inc
    Other disclosed role36 res4.54 HPRD
    Overall 5Staffing Staff 5
Related CMS associates

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Name match to CC Lake Inc in FEC filings. Similar names may appear—confirm on FEC.gov.