FEC Form 1 for Hospital Partners of America Inc. PACForm 1 for Hospital Partners of America Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-326488

1. Hospital Partners of America Inc. PAC

NOTE:Commmittee Name is different than previously reported

2815 Coliseum Centre Drive
Suite 150
Charlotte, NC 28217
Fax: 713-657-7123
Email: HPAPAC@HospitalPartners.com

2. Date: 03/11/2008

3. FEC Committee ID #: C00445007 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Hospital Partners of America, Inc.
2815 Coliseum Centre Drive
Suite 150
Charoltte, North Carolina 28217
Relationship: Connected Organization
Organization Type: Corporation

Custodian of Records:

Kyle M. Clader
1401 St. Joseph Parkway
Houston, TX 77002
Title: Asst. Vice President
Phone # (713) 756-8116

Treasurer:

Warren Christopher Shea
2815 Coliseum Centre Drive
Suite 150
Charlotte, North Carolina 28217
Title: Chief Legal Officer
Phone # (704) 424-6800

Designated Agent(s):

Phillip D. Robinson
1401 St. Jospeh Parkway
Houston, Texas 77002
Title: Chief Ops Officer
Phone # (713) 756-4052

Banks or Depositories

Frost Bank
601 Jefferson Street
Houston, Texas 77002

Signed: Warren Christopher Shea
Date Signed: 03/11/2008
Official Committee FAX: 713-657-7123

FORM TEXT

(End FEC FORM 1)

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