FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-409798
1. HCA INC. GOOD GOVERNMENT FUND
PO BOX 550ONE PARK PLAZA
NASHVILLE, TN 37203
NOTE: Address is different than previously reported
Email: Debi.Tucker@HCAHealthcare.com2. Date: 03/26/2009
3. FEC Committee ID #: C00067231 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
HCA, Inc.PO Box 550
Nashville, Tennessee 372020550
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Debi TuckerPO Box 550
Nashville, TN 37203
Title: PAC Administrator
Phone # (615) 963-3830
Treasurer:
David AndersonOne Park Plaza
Nashville, Tennessee 37203
Title: Treasurer
Phone # (615) 344-9551
Designated Agent(s):
Doug DowneyPost 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 BankP.O. Box 622227
Orlando, Florida 328622227