The Holiday Retirement Home, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 6204919921 Enrollment ID O20080218000677

Linked facilitiesFacilities

StatesStates

5 parties: 0 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Elizabeth Fernandes Darosa	7315255726	Individual	W-2 Managing Employee	—
Donald Roy	4789992199	Individual	5% or Greater Direct Ownership Interest; Corporate Officer; Corporate Director	33.33, 0.33
Jeanne Gurchin	8325356736	Individual	5% or Greater Direct Ownership Interest; Corporate Officer	33.33, 0.33
Judith Roy	8426366832	Individual	5% or Greater Direct Ownership Interest; Corporate Director	33.3, 0.33
Jeffrey Roy	6608184007	Individual	Corporate Officer; Corporate Director	0

Elizabeth Fernandes DarosaPAC 7315255726
IndividualW-2 Managing Employee
Donald RoyPAC 4789992199
Individual33.33, 0.335% or Greater Direct Ownership Interest; Corporate Officer
Jeanne GurchinPAC 8325356736
Individual33.33, 0.335% or Greater Direct Ownership Interest; Corporate Officer
Judith RoyPAC 8426366832
Individual33.3, 0.335% or Greater Direct Ownership Interest; Corporate Director
Jeffrey RoyPAC 6608184007
Individual0Corporate Officer; Corporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Holiday Retirement Home Inc The Holiday Retirement Home, Inc. 136 residents		Other disclo…	4.26	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★★☆☆	136

Holiday Retirement Home Inc
The Holiday Retirement Home, Inc.
Other disclosed role136 res4.26 HPRD
Overall 2Staffing Staff 3

Related CMS associates

Name match to The Holiday Retirement Home, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.