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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-83934

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1. National Health Corporation Political Action Committee

    P.O. Box 1398
    Murfreesboro, TN 37130

2. Date: 04/01/2003

3. FEC Committee ID #: C00153445 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

J. B. KINNEY, Jr.
P.O. Box 1327
Anderson, South Carolina 296221327

Designated Agent(s):

Banks or Depositories

Signed: J. B. KINNEY, Jr.
Date Signed: 05/02/2003

(End FEC FORM 1)

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