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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-880724

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1. GGNSC Holdings LLC/Golden Horizons Care PAC

    700 13th Street, NW
    2nd Floor
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Email: GoldenHorizonsCarePAC@myfecnotices.com

2. Date: 07/15/2013

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
700 13th Street, NW
2nd Floor
Washington, DC 20005
Title: Executive VP
Phone # (202) 347-9928

Treasurer:

Jack MacDonald
700 13th Street, NW
2nd Floor
Washington, DC 20005
Title: Executive VP
Phone # (202) 347-9928

Designated Agent(s):

Stacie E.S. Aman
700 13th Street, NW
2nd Floor
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 434-0490

Belinda Marcotte
1000 Fianna Way
Ft. Smith, Arkansas 72919
Title: Assistant Treasurer
Phone # (479) 201-5564

Banks or Depositories

Sun Trust Bank
1100 G Street NW
Washington, DC 20005

Signed: Jack MacDonald
Date Signed: 07/15/2013

(End FEC FORM 1)

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