FEC Form 1 for HCA Inc. Good Government FundForm 1 for HCA Inc. Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-19013

1. HCA Inc. Good Government Fund

NOTE:Commmittee Name is different than previously reported

PO BOX 550
ONE PARK PLAZA
NASHVILLE, TN 37203

2. Date: 08/14/2001

3. FEC Committee ID #: C00067231 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Mrs. Debi Tucker
P.O. Box 550 One Park Plaza
Nashville, TN 37202
Title: Mgr Govt Rel
Phone # (615) 963-3830

Treasurer:

Mr. David Anderson
P.O. Box 550 One Park Plaza
Nashville, Tennessee 37203
Title: Treasurer
Phone # (615) 344-9551

Designated Agent(s):

Mr. Doug Downey
P.O. Box 550 One Park Plaza
Nashville, Tennessee 37203
Title: Assistant Treasurer
Phone # (615) 344-9551

Mr. Mark Kimbrough
P.O. Box 550 One Park Plaza
Nashville, Tennessee 37203
Title: Assistant Treasurer
Phone # (615) 344-9551

Banks or Depositories

SunTrust
P.O. Box 622227
Orlando, Florida 328622227

Signed: Mr. David Anderson
Date Signed: 08/14/2001

(End FEC FORM 1)

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