FEC Form 1 for Southwestern Great American Inc. Political Action CommitteeForm 1 for Southwestern Great American Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-208142

1. Southwestern Great American Inc. Political Action Committee

2451 Atrium Way
Nashville, TN 37214
Fax: 615-391-2529

2. Date: 03/27/2006

3. FEC Committee ID #: C00385930 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00385930
Southwestern Great American Inc.
2451 Atrium Way
Nashville, Tennessee 37214
Relationship: Corporate Sponsor
Organization Type: Corporation

Custodian of Records:

Meredith Kelley
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 659-8201

Treasurer:

Bob Sircy
2451 Atrium Way
Nashville, Tennessee 37214
Title: Corp. Controller
Phone # (615) 391-2530

Designated Agent(s):

Meredith Kelley
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 659-8201

Banks or Depositories

SunTrust Bank
Nashville, Tennessee 37214

Signed: Bob Sircy
Date Signed: 03/27/2006
Official Committee FAX: 615-391-2529

(End FEC FORM 1)

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