FEC Form 1 for LifePoint Health PAC - The PAC of LifePoint Corporate Services, General Partnership (LCSGP) and facilities which are subForm 1 for LifePoint Health PAC - The PAC of LifePoint Corporate Services, General Partnership (LCSGP) and facilities which are sub

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1319507

1. LifePoint Health PAC - The PAC of LifePoint Corporate Services, General Partnership (LCSGP) and facilities which are sub

NOTE:Commmittee Name is different than previously reported

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

2. Date: 03/15/2019

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

Affiliated Committees/Organizations

LifePoint Corporate Services, General Partnership (LCSGP) and facilities which are subsidiaries of LifePoint Health (collectively LifePoint)
330 Seven Springs Way
Brentwood, Tennessee 37027
Affiliated Relationship Code: Connected Organization

Committee ID# C00421420
LifePoint Health Good Government PAC
330 Seven Springs Way
Brentwood, Tennessee 37027
Affiliated Relationship Code: Affiliated Committee

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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1319507

1. LifePoint Health PAC - The PAC of LifePoint Corporate Services, General Partnership (LCSGP) and facilities which are sub

NOTE:Commmittee Name is different than previously reported

2. Date: 03/15/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Phillip Clark
Date Signed: 03/15/2019

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1319507

1. LifePoint Health PAC - The PAC of LifePoint Corporate Services, General Partnership (LCSGP) and facilities which are sub

NOTE:Commmittee Name is different than previously reported

2. Date: 03/15/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Phillip Clark Date Signed: 03/15/2019 function popup1319507F13() { plain_window = window.open('/dcdev/fectxt/1319507F13.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Phillip Clark
Date Signed: 03/15/2019

FORM TEXT-1