FEC Form 1 for UNIVERSAL HEALTH SERVICES INC EMPLOYEES' GOOD GOVERNMENT FUNDForm 1 for UNIVERSAL HEALTH SERVICES INC EMPLOYEES' GOOD GOVERNMENT FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-745130

1. UNIVERSAL HEALTH SERVICES INC EMPLOYEES' GOOD GOVERNMENT FUND

367 SOUTH GULPH ROAD
KING OF PRUSSIA, PA 19406
Email: cheryl.ramagano@uhsinc.com

NOTE: Email address is different than previously reported

2. Date: 09/09/2011

3. FEC Committee ID #: C00185520 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00407684
PSYCHIATRIC SOLUTIONS, INC. FED PAC
800 CRESCENT CENTER
SUITE 200
FRANKLIN, Tennessee 37067
Affiliated Relationship Code: Affiliated Committee

Universal Health Services Inc.
367 S. Gulph Road
King of Prussia, Pennsylvania 19406
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Matthew Klein
115 Cleaver Rd
Lower Gwynedd, PA 19002
Title: General Counsel
Phone # (610) 768-3300

Treasurer:

Cheryl Ramagano
11 Allison Dr.
Broomall, Pennsylvania 19008
Title: Treasurer
Phone # (610) 768-3402

Designated Agent(s):

Banks or Depositories

Wachovia Bank
PO Box 563966
NC8502
Charlotte, North Carolina 28256

Signed: Cheryl Ramagano
Date Signed: 09/19/2011

(End FEC FORM 1)

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