FEC Form 1 for GGNSC Holdings LLC/Golden Horizons Care PACForm 1 for GGNSC Holdings LLC/Golden Horizons Care PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-286882

1. GGNSC Holdings LLC/Golden Horizons Care PAC

1250 H Street NW
Suite 555
Washington, DC 20005
Fax: 202-393-7180
Email: GoldenHorizonsCarePAC@myfecnotices.com

2. Date: 04/25/2007

3. FEC Committee ID #: C00346346 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

GGNSC Holdings LLC/Golden Horizons Care
1000 Fianna Way
Fort Smith, Arizona 72919
Relationship: Connected
Organization Type: Corporation

Drumm Investors LLC
Four Embarcadero Center
Suite 710
San Francisco, California 94111
Relationship: Affiliated - Parent
Organization Type: Corporation

Custodian of Records:

Jack MacDonald
1250 H Street NW
Suite 555
Washington, DC 20005
Title: Senior VP
Phone # (202) 393-2800

Treasurer:

Jack MacDonald
1250 H Street NW
Suite 555
Washington, DC 20005
Title: Senior VP
Phone # (202) 393-2800

Designated Agent(s):

Richard Skelly
Golden Horizons
1000 Fianna Way
Fort Smith, Arkansas 72919
Title: CFO
Phone # (479) 201-2000

Banks or Depositories

Sun Trust Bank
1100 G Street NW
Washington, DC 20005

Signed: Jack MacDonald
Date Signed: 04/25/2007
Official Committee FAX: 202-393-7180

FORM TEXT

(End FEC FORM 1)

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