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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-1689220

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

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

2. Date: 02/16/2023

3. FEC Committee ID #: C00347955 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

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

Custodian of Records:

Charlotte Lawrence
330 Seven Springs Way
Brentwood, TN 37027
Title: Custodian of Records
Phone # (615) 920-7688

Treasurer:

Phillip Clark
330 Seven Springs Way
Brentwood, Tennessee 37027
Title: Treasurer
Phone # (615) 950-7612

Designated Agent(s):

Banks or Depositories

Regions Bank
One Nashville Place, 150 4th A
Nashville, Tennessee 37219

Signed: Phillip Clark
Date Signed: 02/16/2023

FORM TEXT-1

(End FEC FORM 1)


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