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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-24475

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1. LIFEPOINT HOSPITALS INC GOOD GOVERNMENT FUND

    103 POWELL COURT SUITE 200
    BRENTWOOD, TN 37027
    Email: Penny.Brake@lifepointhospitals.com

2. Date: 01/23/2002

3. FEC Committee ID #: C00347955 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Hollie Harris
103 Powell Court
Suite 200
Brentwood, TN 37027
Phone # (615) 372-8548

Treasurer:

Penny Brake
103 Powell Court
Suite 200
Nashville, Tennessee 37027
Title: Treasurer
Phone # (615) 372-8532

Designated Agent(s):

Banks or Depositories

Signed: Penny Brake
Date Signed: 01/28/2002

(End FEC FORM 1)

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