FEC Form 1 for HCA INC. GOOD GOVERNMENT FUNDForm 1 for HCA INC. GOOD GOVERNMENT FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-265696

1. HCA INC. GOOD GOVERNMENT FUND

PO BOX 550
ONE PARK PLAZA
NASHVILLE, TN 37203

NOTE: Address is different than previously reported

Fax: 6159633841
Email: Debi.Tucker@HCAHealthcare.com

2. Date: 12/13/2006

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

Affiliated Committees/Organizations

HCA Inc.
PO Box 550
Nashville, Tennessee 372020550
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Debi Tucker
PO Box 550
Nashville, TN 37203
Title: PAC Administrator
Phone # (615) 963-3830

Treasurer:

David Anderson
One Park Plaza
Nashville, Tennessee 37203
Title: Treasurer
Phone # (615) 344-9551

Designated Agent(s):

Doug Downey
Post Office Box 550
Nashville, Tennessee 37203
Title: Assistant Treasurer
Phone # (615) 344-9551

Mark Kimbrough
PO Box 550
Nashville, Tennessee 37203
Title: Assistant Treasurer
Phone # (615) 344-9551

Banks or Depositories

Suntrust Bank
P.O. Box 622227
Orlando, Florida 328622227

Signed: David Anderson
Date Signed: 12/13/2006
Official Committee FAX: 6159633841

(End FEC FORM 1)

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