Potosi Manor, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 6800820515 Enrollment ID O20050922000309

Linked facilitiesFacilities

StatesStates

7 parties: 0 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Melissa Smith	5698134849	Individual	W-2 Managing Employee	100
James C Lincoln	7315856572	Individual	5% or Greater Direct Ownership Interest	50
Judy L Lincoln	9537141445	Individual	5% or Greater Direct Ownership Interest	50
Charlotte A Stutts	2062684830	Individual	Corporate Officer	50
Timothy O Drake	3971775743	Individual	Corporate Officer	50
Brandon Bysor	1557756665	Individual	Corporate Director	50
James Lincoln	4587644042	Individual	Corporate Director	—

Melissa SmithPAC 5698134849
Individual100W-2 Managing Employee
James C LincolnPAC 7315856572
Individual505% or Greater Direct Ownership Interest
Judy L LincolnPAC 9537141445
Individual505% or Greater Direct Ownership Interest
Charlotte A StuttsPAC 2062684830
Individual50Corporate Officer
Timothy O DrakePAC 3971775743
Individual50Corporate Officer
Brandon BysorPAC 1557756665
Individual50Corporate Director
James LincolnPAC 4587644042
IndividualCorporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Potosi Manor Potosi Manor, Inc. 52 residents		Other disclo…	3.28	Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★☆☆☆	52

Potosi Manor
Potosi Manor, Inc.
Other disclosed role52 res3.28 HPRD
Overall 3Staffing Staff 2

Related CMS associates

Name match to Potosi Manor, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.