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FEC FORM 99

MISCELLANEOUS DOCUMENT

FILING FEC-159048

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1. Beverly Enterprises Inc. Political Action Committee (Bev PAC)

    1250 H Street NW
    Suite 555
    Washington, DC 20005

2. Treasurer Info

    Treasurer Name: Jack MacDonald

4. FEC Committee ID #: C00346346

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VIEW MISCELLANEOUS DOCUMENT

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Date Signed: 01/14/2005

(End FEC FORM 99)

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