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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-37965

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1. TRIAD HOSPITALS INC GOOD GOVERNMENT FUND

    13455 NOEL ROAD 20TH FLOOR
    DALLAS, TX 75240

    NOTE: Address is different than previously reported

    Email: Dawn.Martin@TriadHospitals.com

2. Date: 05/30/2002

3. FEC Committee ID #: C00347062 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Dawn Martin
13455 Noel Road Suite 2000
Dallas, TX 75240
Title: Assistant Treasurer
Phone # (972) 701-2211

Treasurer:

Patricia G. Ball
13455 Noel Road Suite 2000
Dallas, Texas 75240
Title: Treasurer
Phone # (972) 701-2211

Designated Agent(s):

Banks or Depositories

Signed: Patricia G. Ball
Date Signed: 05/30/2002

FORM TEXT

(End FEC FORM 1)

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