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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-111543

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1. Kindred Healthcare Inc. Political Action Committee

    680 South Fourth Avenue
    Louisville, KY 402022412

2. Date: 01/06/2003

3. FEC Committee ID #: C00242271 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

John Chadwick O'Bryan
680 South Fourth Avenue
Louisville, KY 402022412
Title: Legislative Consulta
Phone # (502) 596-7315

Treasurer:

Hank Robinson
680 South Fourth Avenue
Louisville, Kentucky 402022412
Title: Sr Vice President of
Phone # (502) 596-7300

Designated Agent(s):

Banks or Depositories

BB&T
P.O. Box 1101
Louisville, Kentucky 402011101

Signed: Hank Robinson
Date Signed: 03/15/2004

(End FEC FORM 1)

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