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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1541129

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1. National Health Corporation Political Action Committee

    P.O. Box 1398
    Murfreesboro, TN 37130
    Email: tshelly@nhccare.com;clint.hall@nhccare.com

    NOTE: Email address is different than previously reported

2. Date: 10/07/2021

3. FEC Committee ID #: C00153445 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

National Health Corporation
100 E. Vine St.
Murfreesboro, Tennessee 37130
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tim Shelly
140 Throne Boulevard
Gallatin, TN 37066
Title: Custodian of Records
Phone # (615) 451-0788

Treasurer:

Tim Shelly
140 Throne Boulevard
Gallatin, Tennessee 37066
Title: Treasurer
Phone # (615) 451-0788

Designated Agent(s):

Banks or Depositories

Regions Bank
100 E. Vine St. #200
Murfreesboro, Tennessee 37130

Signed: Tim Shelly
Date Signed: 10/07/2021

(End FEC FORM 1)

Generated Sat Jun 29 18:14:34 2024