FEC Form 1 for TENET HEALTHCARE CORPORATION PACForm 1 for TENET HEALTHCARE CORPORATION PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-157860

1. TENET HEALTHCARE CORPORATION PAC

13737 Noel Road Suite 100
Dallas, TX 75240

NOTE: Address is different than previously reported

Fax: 469-893-8637
Email: kay.stifle@tenethealth.com

2. Date: 01/06/2005

3. FEC Committee ID #: C00119354 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Tenet Healthcare Corporation
13737 Noel Road Suite 100
Dallas, Texas 75240
Relationship: connected organization - sponsor
Organization Type: Corporation

Custodian of Records:

Ms. Kay Stifle
13737 Noel Road Suite 100
Dallas, TX 75240
Title: Sr. Admin. Assistant
Phone # (469) 893-2413

Treasurer:

Mr. Todd Plott
13737 Noel Road Suite 100
Dallas, Texas 75240
Title: Mngr SEC Reporting
Phone # (469) 893-2630

Designated Agent(s):

Banks or Depositories

Bank of America
P.O. Box 27128
Concord, California 94520

Signed: Mr. Todd Plott
Date Signed: 01/06/2005
Official Committee FAX: 469-893-8637

(End FEC FORM 1)

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