IN THE UNITED STATES BANKRUPTCY COURT

FOR THE MIDDLE DISTRICT OF TENNESSEE

NASHVILLE DIVISION
-----------------------------------------------------------------------IN RE:
)
)
Chapter 11
CHURCH STREET HEALTH MANAGEMENT, LLC,
)
et al. 1
)
Case No. 12-01573
)
Debtors
)
Jointly Administered
-----------------------------------------------------------------------AFFIDAVIT OF SERVICE
STATE OF ILLINOIS
COUNTY OF COOK

)
) ss
)

I, Heather L. Montgomery, being duly sworn, depose and state:

1.

I am a Senior Project Manager with GCG, Inc., the notice and claims agent for the debtors

and debtors-in-possession (collectively, the Debtors) in the above-captioned proceedings. Our

business address is 190 South LaSalle Street, Suite 1520, Chicago, Illinois 60603.
2.

On March 30, 2012, at the direction of Waller Lansden Dortch & Davis, LLP, counsel for

the Debtors, I caused a true and correct copy of the following document to be served on the Limited
Master Service List and Affected party via e-mail on the parties as set forth on the service list
annexed hereto as Exhibit A, via facsimile on the parties as set forth on the service list annexed
hereto as Exhibit B and via overnight delivery on the parties as set forth on the service list annexed
hereto as Exhibit C:

The Debtors (with the last four digits of each Debtors federal tax identification number and chapter 11 case
number), are: Church Street Health Management, LLC (2335; Case No. 12-01573), Small Smiles Holding
Company, LLC (4993; Case No. 12-01574), FORBA NY, LLC (8013; Case No. 12-01575), FORBA
Services, Inc. (6506; Case No. 12-01577), EEHC, Inc. (4973; Case No. 12-01576).

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EXHIBIT A

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