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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-881290

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1. Harden Healthcare LLC Federal PAC

    1703 W. 5th Street
    Suite 700
    Austin, TX 78703
    Email: nhunter@hardenhealthcare.com

    NOTE: Email address is different than previously reported

2. Date: 07/23/2013

3. FEC Committee ID #: C00489740 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Harden Healthcare LLC
1703 W. 5th Street, Ste. 700
Austin, Texas 78703
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chelsea M Holden
1703 W. 5th Street, Ste. 700
Austin, TX 78703
Title: Asst. Treasurer
Phone # (512) 634-4965

Treasurer:

Nelda J Hunter
1703 W. 5th Street, Ste. 700
Austin, Texas 78703
Title: Treasurer
Phone # (512) 634-4953

Designated Agent(s):

Chelsea M Holden
1703 W. 5th Street, Ste. 700
Austin, Texas 78703
Title: Asst. Treasurer
Phone # (512) 634-4965

Banks or Depositories

PlainsCapital Bank
919 Congress Ave Ste 100
Austin, Texas 78701

Signed: Nelda J Hunter
Date Signed: 07/23/2013
Official Committee URL: N/A

FORM TEXT

(End FEC FORM 1)

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