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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1620380

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1. ACADIA HEALTHCARE COMPANY INC. FEDPAC

    6100 Tower Circle Road
    Suite 1000
    Franklin, TN 37067
    Email: chris.howard@acadiahealthcare.com;kimberly.faye@wallerlaw.com

    NOTE: Email address is different than previously reported

2. Date: 07/29/2022

3. FEC Committee ID #: C00496919 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

ACADIA HEALTHCARE COMPANY, INC.
6100 Tower Circle, Suite 100
Franklin, Tennessee 37067
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chris Howard
6100 Tower Circle, Suite 1000
Franklin, TN 37067
Title: EVP
Phone # (615) 861-6000

Treasurer:

Chris Howard
1010 Foxwood Drive
Nashville, Tennessee 37215
Title: EVP
Phone # (615) 861-6000

Designated Agent(s):

Banks or Depositories

CapStar
201 4th Avenue North, Suite 950
Nashville, Tennessee 37219

Signed: Chris Howard
Date Signed: 07/29/2022

(End FEC FORM 1)

Generated Wed Jul 10 19:13:44 2024