FOUNDERS
Bruce and Cila Packman

BOARD OF DIRECTORS

Kevin E. Packman, Esq.
President
Donna M. Singer
Executive Vice President

Cila Packman
Vice President
Lisa Leuchter Treister
Vice President
Kenneth P. Rosenthal, M.D.
Treasurer
Kris Matteson Charlton
Secretary
Jenny Bec
Carol Sherr Brooks
Alison Charlton
Brenda Faust
Stephen Horwitz
Magda Shenberg Leuchter
Marsha Lucas
Barry A. Postman, Esq.
Meri L. Singer, Esq.
Wendy Sternlieb
Barbara Tifford
Sara Leuchter Wilkins
Miriam Yruretagoyena-Anderez
Alan B, Zinkin

ADVISORY BOARD MEMBERS
Antonio L. Argiz, C.P.A.
Morrison, Brown, Argiz & Co.
Walter G. Bradley, D.M. F.R.C.P.
University of Miami
Department of Neurology
Romero Britto
Britto Central
Simon Frank, M.D.
South Miami Hospital
Philip Frost, M.D.
IVAX Corporation
U.S. Senator Bob Graham
Norman Lipoff, Esq.
Greenberg Traurig
Miriam Lopez
TransAtlantic Bank
Howard Lucas, C.P.A.
Goldstein, Schechter, Price, Lucas,
Horowitz & Company, P.A.
Ritchie Lucas
CreatAbilities
Manuel D. Medina
Terremark Worldwide
Edward Sternlieb
Brian L. Weiss, M.D.
The Weiss institute

ALS Recovery Fund
Patient Care Fund
Grant Request

e thank you for your interest in the ALS Recovery Foundation's Patient Care Fund. The Foundation seeks to aid families impacted by ALS by providing financial assistance to those in need of equipment and/or supplies. To better help us, help you, please answer the following questions and attach copies of those requested documents.

The ALS Recovery Foundation is a 501 (c)(3) nonprofit organization built on volunteers. The Foundation is committed to creating public awareness, promoting research and education, and raising funds in order to find a cure for this life-threatening disease.

The Foundation is pleased to be able to help those PALS in need of assistance. The Patient Care Fund is available to all residents of Dade, Broward, Monroe and Palm Beach County. If you have any questions regarding the application, please contact Ginna Gonzalez, R.N. Ms. Gonzalez can be reached via the following methods:

Tel: (305) 243-7400 or (800) 690-ALS1
Fax: (305) 243-1249
Email: Ggonzal4@med.miami.edu

http://www.alsrecovery.org

Completed applications should be sent to:

The ALS Recovery Foundation Patient Care Fund
C/o Kessenich Family MDA ALS Center
1150 NW 14th Street, Suite 609
Miami, FL 33136

Download the form:
Patient Care Fund Grant Request - Word format (.doc)
Patient Care Fund Grant Request - Acrobat format (.pdf)