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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-805477


1. GGNSC Holdings LLC/Golden Horizons Care PAC

    1099 New York Avenue NW, Suite 625
    Washington, DC 20001
    Email: GoldenHorizonsCarePAC@myfecnotices.com

2. Date: 08/13/2012

3. FEC Committee ID #: C00346346 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

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

Custodian of Records:

Jack MacDonald
1099 New York Avenue NW, Suite 625
Washington, DC 20001
Title: Executive VP
Phone # (202) 393-2800

Treasurer:

Jack MacDonald
1099 New York Avenue NW, Suite 625
Washington, DC 20001
Title: Executive VP
Phone # (202) 393-2800

Designated Agent(s):

Banks or Depositories

Sun Trust Bank
1100 G Street NW
Washington, DC 20005

Signed: Jack MacDonald
Date Signed: 08/13/2012

(End FEC FORM 1)


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