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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1706925

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1. Ardent Legacy Holdings LLC Good Government Fund

    340 Seven Springs Way
    Suite 100
    Brentwood,, TN 37027

    NOTE: Address is different than previously reported

    Email: Ashley.Crabtree@ardenthealth.com

2. Date: 06/01/2023

3. FEC Committee ID #: C00390963 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Ardent Legacy Holdings LLC
340 Seven Springs Way
Suite 100
Brentwood,, Tennessee 37027
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mrs. Ashley M. Crabtree
340 Seven Springs Way
Suite 100
Brentwood,, TN 37027
Title: Treasurer
Phone # (615) 296-3202

Treasurer:

Mrs. Ashley M. Crabtree
340 Seven Springs Way
Suite 100
Brentwood,, Tennessee 37027
Title: Treasurer
Phone # (615) 296-3202

Designated Agent(s):

Stephen C. Petrovich
340 Seven Springs Way
Suite 100
Brentwood,, Tennessee 37027
Title: Chair & Asst. Treas.
Phone # (615) 296-3384

Banks or Depositories

Bank of America N.A.
600 Peachtree Street NE
14th Floor
Atlanta,, Georgia 30308

Signed: Mrs. Ashley M. Crabtree
Date Signed: 06/10/2023

(End FEC FORM 1)

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