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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1211236

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1. Steward Health Care System LLC Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    117 Seaboard Lane
    Suite E
    Franklin, TN 37067
    Email: steward@electioncompliance.com

2. Date: 01/15/2018

3. FEC Committee ID #: C00540435 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Steward Health Care System LLC
111 Huntington Avenue
Suite 1800
Boston, Massachusetts 02199
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacey McLaughlin
117 Seaboard Lane
Suite E
Franklin, TN 37067
Title: Custodian of Records
Phone # (615) 467-1238

Treasurer:

John Doyle
117 Seaboard Lane
Suite E
Franklin, Tennessee 37067
Title: Treasurer
Phone # (615) 467-1203

Designated Agent(s):

William Stokes
117 Seaboard Lane
Suite E
Franklin, Tennessee 37067
Title: Assistant Treasurer
Phone # (615) 467-1221

Banks or Depositories

Bank of America Merrill Lynch
600 Peachtree Street, NE
Atlanta, Georgia 30308

Signed: John Doyle
Date Signed: 01/15/2018
Official Committee URL: www.steward.org

(End FEC FORM 1)

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