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ATION RELATED TO THE HOSPITAL (1) (2) LINE DESCRIPTION (3) AFFILIATE INFORMATION A. AFFILIATE NAME CCMC CORPORATION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Affiliate Description Affiliate type of service Tax Status Street Address Town State Zip Code CEO Name CEO Title CT Agent Name CT Agent Company CT Agent Company Street Address CT Agent Town CT Agent State CT Agent Zip Code PARENT COMPANY TO CT CHILDREN S MEDICAL CENTER, CCMC FOUNDATION, CCMC VENTURES,AND CCMC AFFLIATES Parent Corporation.

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