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FEC Form 1 for LifePoint Health Good Government PACForm 1 for LifePoint Health Good Government PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1320317


1. LifePoint Health Good Government PAC

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

2. Date: 03/20/2019

3. FEC Committee ID #: C00421420 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00347955
LifePoint Health
330 Seven Springs Way
Brentwood, Tennessee 37027
Affiliated Relationship Code: Connected Organization

Committee ID# C00347955
LifePoint Health PAC - The PAC of Life
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) 920-7000

Treasurer:

Phillip Clark
330 Seven Springs Way
Brentwood, Tennessee 37027
Title: Treasurer
Phone # (615) 920-7000

Designated Agent(s):

Banks or Depositories

Regions Bank
150 4th Avenue North
Nashville, Tennessee 37219

Signed: Phillip Clark
Date Signed: 03/20/2019

FORM TEXT-1

(End FEC FORM 1)


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