Lake Forest Place, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 6204138522 Enrollment ID O20160104001908

Linked facilitiesFacilities

StatesStates

29 parties: 4 organizations · 25 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Mark E Havrilka	6709928948	Individual	Corporate Officer; Operational/Managerial Control	0
Lydia Jacobson	5496239634	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Anthony Madal	8123101326	Individual	Operational/Managerial Control; Managing Control - Governing Body	—
Patricia G Pratt	5698259927	Individual	Operational/Managerial Control	—
Kelly Ichinose	7214411461	Individual	Operational/Managerial Control; Managing Control - Governing Body	—
Ceazar Familara	9537539168	Individual	Operational/Managerial Control	—
Carol Vanberkel	7719357342	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Alpana Patel	5597249821	Individual	Operational/Managerial Control; Managing Control - Governing Body	—
Barbara Bailey	6305320540	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Presbyterian Homes Manager LLC	6305148859	Organization	Operational/Managerial Control; ADP of the SNF	—
Cheryl Miller	7214411545	Individual	Operational/Managerial Control	—
Anna Breen Liggett	0749515013	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Presbyterian Homes	4587966031	Organization	5% or Greater Direct Ownership Interest	100
Nadim M Abi-antoun	9830491380	Individual	Corporate Officer	—
Marsha Oberreider	8628465218	Individual	Corporate Director	0
Sam Reynolds	2961986294	Individual	Corporate Director	0
Jessica Strausbaugh	3870077100	Individual	Corporate Director	0
Robert Dearborn	8729562491	Individual	Corporate Director	0
Eric Mollman	0941677595	Individual	Corporate Director	0
Julie Seymour	1850768409	Individual	Corporate Director	0
Mark Wetzel	4082082995	Individual	Corporate Director	0
Michael Lincoln	6406223056	Individual	Corporate Director	0
Thomas J Mcafee	6002810231	Individual	Corporate Director	0
Elinor Hite	3274869672	Individual	Corporate Director	0
Vincent K Kelly	4183950587	Individual	Corporate Director	0

Mark E HavrilkaPAC 6709928948
Individual0Corporate Officer; Operational/Managerial Control
Lydia JacobsonPAC 5496239634
IndividualOperational/Managerial Control; Managing Control - Governing Body
Anthony MadalPAC 8123101326
IndividualOperational/Managerial Control; Managing Control - Governing Body
Patricia G PrattPAC 5698259927
IndividualOperational/Managerial Control
Kelly IchinosePAC 7214411461
IndividualOperational/Managerial Control; Managing Control - Governing Body
Ceazar FamilaraPAC 9537539168
IndividualOperational/Managerial Control
Carol VanberkelPAC 7719357342
IndividualOperational/Managerial Control; Managing Control - Governing Body
Alpana PatelPAC 5597249821
IndividualOperational/Managerial Control; Managing Control - Governing Body
Barbara BaileyPAC 6305320540
IndividualOperational/Managerial Control; Managing Control - Governing Body
Presbyterian Homes Manager LLCPAC 6305148859
OrganizationOperational/Managerial Control; ADP of the SNF
Cheryl MillerPAC 7214411545
IndividualOperational/Managerial Control
Anna Breen LiggettPAC 0749515013
IndividualOperational/Managerial Control; Managing Control - Governing Body
Presbyterian HomesPAC 4587966031
Organization1005% or Greater Direct Ownership Interest
Nadim M Abi-antounPAC 9830491380
IndividualCorporate Officer
Marsha OberreiderPAC 8628465218
Individual0Corporate Director
Sam ReynoldsPAC 2961986294
Individual0Corporate Director
Jessica StrausbaughPAC 3870077100
Individual0Corporate Director
Robert DearbornPAC 8729562491
Individual0Corporate Director
Eric MollmanPAC 0941677595
Individual0Corporate Director
Julie SeymourPAC 1850768409
Individual0Corporate Director
Mark WetzelPAC 4082082995
Individual0Corporate Director
Michael LincolnPAC 6406223056
Individual0Corporate Director
Thomas J McafeePAC 6002810231
Individual0Corporate Director
Elinor HitePAC 3274869672
Individual0Corporate Director
Vincent K KellyPAC 4183950587
Individual0Corporate Director

Show all 29 parties (4 more)

Name	Owner/control PAC	Type	Role(s)	%
Mark E Havrilka	6709928948	Individual	Corporate Officer; Operational/Managerial Control	0
Lydia Jacobson	5496239634	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Anthony Madal	8123101326	Individual	Operational/Managerial Control; Managing Control - Governing Body	—
Patricia G Pratt	5698259927	Individual	Operational/Managerial Control	—
Kelly Ichinose	7214411461	Individual	Operational/Managerial Control; Managing Control - Governing Body	—
Ceazar Familara	9537539168	Individual	Operational/Managerial Control	—
Carol Vanberkel	7719357342	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Alpana Patel	5597249821	Individual	Operational/Managerial Control; Managing Control - Governing Body	—
Barbara Bailey	6305320540	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Presbyterian Homes Manager LLC	6305148859	Organization	Operational/Managerial Control; ADP of the SNF	—
Cheryl Miller	7214411545	Individual	Operational/Managerial Control	—
Anna Breen Liggett	0749515013	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Presbyterian Homes	4587966031	Organization	5% or Greater Direct Ownership Interest	100
Nadim M Abi-antoun	9830491380	Individual	Corporate Officer	—
Marsha Oberreider	8628465218	Individual	Corporate Director	0
Sam Reynolds	2961986294	Individual	Corporate Director	0
Jessica Strausbaugh	3870077100	Individual	Corporate Director	0
Robert Dearborn	8729562491	Individual	Corporate Director	0
Eric Mollman	0941677595	Individual	Corporate Director	0
Julie Seymour	1850768409	Individual	Corporate Director	0
Mark Wetzel	4082082995	Individual	Corporate Director	0
Michael Lincoln	6406223056	Individual	Corporate Director	0
Thomas J Mcafee	6002810231	Individual	Corporate Director	0
Elinor Hite	3274869672	Individual	Corporate Director	0
Vincent K Kelly	4183950587	Individual	Corporate Director	0
Charles G Denison	1456687854	Individual	Corporate Director	0
Dennie Marx	8628304029	Individual	Corporate Director	0
Unknown party	3779067913	Organization	ADP of the SNF	—
Unknown party	9133603376	Organization	ADP of the SNF	—

Mark E HavrilkaPAC 6709928948
Individual0Corporate Officer; Operational/Managerial Control
Lydia JacobsonPAC 5496239634
IndividualOperational/Managerial Control; Managing Control - Governing Body
Anthony MadalPAC 8123101326
IndividualOperational/Managerial Control; Managing Control - Governing Body
Patricia G PrattPAC 5698259927
IndividualOperational/Managerial Control
Kelly IchinosePAC 7214411461
IndividualOperational/Managerial Control; Managing Control - Governing Body
Ceazar FamilaraPAC 9537539168
IndividualOperational/Managerial Control
Carol VanberkelPAC 7719357342
IndividualOperational/Managerial Control; Managing Control - Governing Body
Alpana PatelPAC 5597249821
IndividualOperational/Managerial Control; Managing Control - Governing Body
Barbara BaileyPAC 6305320540
IndividualOperational/Managerial Control; Managing Control - Governing Body
Presbyterian Homes Manager LLCPAC 6305148859
OrganizationOperational/Managerial Control; ADP of the SNF
Cheryl MillerPAC 7214411545
IndividualOperational/Managerial Control
Anna Breen LiggettPAC 0749515013
IndividualOperational/Managerial Control; Managing Control - Governing Body
Presbyterian HomesPAC 4587966031
Organization1005% or Greater Direct Ownership Interest
Nadim M Abi-antounPAC 9830491380
IndividualCorporate Officer
Marsha OberreiderPAC 8628465218
Individual0Corporate Director
Sam ReynoldsPAC 2961986294
Individual0Corporate Director
Jessica StrausbaughPAC 3870077100
Individual0Corporate Director
Robert DearbornPAC 8729562491
Individual0Corporate Director
Eric MollmanPAC 0941677595
Individual0Corporate Director
Julie SeymourPAC 1850768409
Individual0Corporate Director
Mark WetzelPAC 4082082995
Individual0Corporate Director
Michael LincolnPAC 6406223056
Individual0Corporate Director
Thomas J McafeePAC 6002810231
Individual0Corporate Director
Elinor HitePAC 3274869672
Individual0Corporate Director
Vincent K KellyPAC 4183950587
Individual0Corporate Director
Charles G DenisonPAC 1456687854
Individual0Corporate Director
Dennie MarxPAC 8628304029
Individual0Corporate Director
Unknown partyPAC 3779067913
OrganizationADP of the SNF
Unknown partyPAC 9133603376
OrganizationADP of the SNF

Linked facilities

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Lake Forest Place Lake Forest Place, LLC 47 residents		Other disclo…	5.55	Ovr★★★★★Stf★★★★★Ins★★★★☆QM★★★☆☆	47

Lake Forest Place
Lake Forest Place, LLC
Other disclosed role47 res5.55 HPRD
Overall 5Staffing Staff 5

Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lake Forest Place, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.

Owners & control parties

Linked facilities

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FEC political contributions FEC contributions Beta