FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-213272
1. CAPELLA HEALTHCARE INC. GOVERNMENT AFFAIRS COMMITTEE
501 CORPORATE CENTRE DRIVE STE 200FRANKLIN, TN 37067
Fax: 6157643038
Email: tony.fay@capellahealth.com
2. Date: 03/08/2006
3. FEC Committee ID #: C00421420 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Capella Healthcare Inc.501 Corporate Centre Drive
Suite 200
Franklin, Tennessee 37067
Relationship: connected
Organization Type: Corporation
Custodian of Records:
Eugene A. (Tony) Fay501 Corporate Centre Drive
Suite 200
Franklin, TN 37067
Title: Treasurer
Phone # (615) 764-3007
Treasurer:
Eugene A. (Tony) Fay501 Corporate Centre Drive
Suite 200
Franklin, Tennessee 37067
Designated Agent(s):
Steven R. Brumfield501 Corporate Centre Drive
Suite 200
Franklin, Tennessee 37067
Title: VP/Assistant Treas.
Phone # (615) 764-3007
Banks or Depositories
Bank of America414 Union Street
Attn: Jeanne Goodman
Nashville, Tennessee 37219