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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1303185

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1. LifePoint Health, Inc. PAC

    330 Seven Springs Way
    BRENTWOOD, TN 37027
    Email: Phillip.Clark@LPNT.net;david.critchlow@lpnt.net

    NOTE: Email address is different than previously reported

2. Date: 12/11/2018

3. FEC Committee ID #: C00347955 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

LifePoint Health, Inc.
330 Seven Springs Way
Brentwood, Tennessee 37027
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kathy Teague
330 Seven Springs Way
Brentwood, TN 37027
Title: Senior Director
Phone # (615) 920-7620

Treasurer:

Phillip Clark
330 Seven Springs Way
Brentwood, Tennessee 37027
Title: Treasurer
Phone # (615) 920-7612

Designated Agent(s):

Banks or Depositories

Regions (formerly AmSouth)
915 Deaderick Street
Nashville, Tennessee 37237

Signed: Phillip Clark
Date Signed: 12/11/2018

(End FEC FORM 1)

Generated Fri Sep 6 20:22:48 2024