Somerset Surgery Partner S-4/A Registration of securities issued in business combination transactions (amended)

Exhibit 3.311

STATE OF TENNESSEE
Tre Hargett, Secretary of State
Division of Business Services
William R. Snodgrass Tower
312 Rosa L. Parks AVE, 6th FL
Nashville, TN 37243-1102

CFS
992 DAVIDSON DRIVE
SUITE B
Nashville, TN 37205

Request Type:	Certified Copies	Issuance Date:	03/11/2011
Request #:	33907	Copies Requested:	1

Document Receipt

Receipt#: 376920	Filing Fee:	$20.00
Payment-Account - CFS, NASHVILLE, TN		$20.00

I, Tre Hargett, Secretary of State of the State of Tennessee, do hereby certify thatPRINCIPAL-NEEDLES, INC.,Control # 331984 was formed or qualified to do business in the State of Tennessee on 06/04/1997. PRINCIPAL-NEEDLES, INC. has a home jurisdiction of Williamson County and is currently in an Active status.

Tre Hargett

Secretary of State

Processed By: Nichole Hambrick

The attached document(s) was/were filed in this office on the date(s) indicated below:

Reference #	Date Filed	Filing Description
3346-1582	06/04/1997	Initial Filing
3411-0196	11/17/1997	Registered Agent Change (by Entity)
3543-0422	07/29/1998	CMS Annual Report Update
3926-0508	06/16/2000	Registered Agent Change (by Agent)
5507-1751	07/14/2005	Registered Agent Change (by Entity)
5727-1721	03/22/2006	2005 Annual Report (Due 04/01/2006)

Phone 615-741-6488 * Fax (615) 741-7310 * Website: http://tnbear.tn.gov/

Page 1 of 1

CHARTER
OF
PRINCIPAL-NEEDLES, INC.

     The undersigned person, having capacity to contract and acting as the incorporator of a corporation under Section 48-12-101 of the Tennessee Business Corporation Act (the “Act”), adopts the following charter for such corporation:

     1. Name. The name of the corporation is Principal-Needles, Inc. (the “Corporation”).

     2. Registered Office and Registered Agent. The address of the registered office of the Corporation in Tennessee is 109 Westpark Drive, Suite 180, Brentwood, Williamson County, Tennessee 37027. The Corporation’s registered agent at the registered office is Martin S. Rash.

     3. Incorporator. The name and address of the sole incorporator of the Corporation is Howard T. Wall, 511 Union Street, Suite 2100. Nashville, Davidson County, Tennessee, 37219.

     4. Principal Office. The address of the principal office of the Corporation is 109 Westpark Drive, Suite 180, Brentwood, Williamson County, Tennessee 37027.

     5. Corporation for Profit. The Corporation is for profit.

     6. Authorized Shares. The Corporation shall have authority, acting by its board of directors, to issue not more than one thousand (1,000) shares of common stock, each with a par value of one cent ($.01) (“common stock”).

     7. Limitation on Directors’ Liability.

     (a) A director of the Corporation shall not be personally liable to the Corporation or its shareholders for monetary damages for breach of fiduciary duty as a director, except for liability for (i) any breach of the director’s duty of loyalty to the Corporation or its shareholders, (ii) acts or omissions not in good faith or which involve intentional misconduct or a knowing violation of law, or (iii) unlawful distributions under Section 48-18-304 of the Act. as amended from time to time.

     (b) If the Act is amended to authorize corporate action further eliminating or limiting the personal liability of directors, then the liability of a director of the Corporation shall be eliminated or limited to the fullest extent permitted by the Act, as so amended. Any repeal

or modification on the foregoing by the shareholders shall not adversely affect any right or protection of a director of the Corporation existing at the time of such repeal or modification.

8.     Indemnification.

     (a) The Corporation shall indemnify, and upon request shall advance expenses to, in the manner and to the full extent permitted by law, any officer or director (or the estate of any such person) who was or is a party to, or is threatened to be made a party to, any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative, investigative or otherwise, by reason of the fact that such person is o. was a director or officer of the Corporation, or is or was serving at the request of the Corporation as a director, officer, partner, trustee or employee of another corporation, partnership, joint venture, trust or other enterprise (an “indemnitee”). The Corporation may, to the full extent permitted by law, purchase and maintain insurance on behalf of any such person against any liability which may be asserted against him or her. To the full extent permitted by law, the indemnification and advances provided for herein shall include expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement. The indemnification provided herein shall not be deemed to limit the right of the Corporation to indemnify any other person for any such expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement to the full extent permitted by law, both as to action in his official capacity and as to action in another capacity while holding such office. Notwithstanding the foregoing, the Corporation shall not indemnify any such indemnitee (1) in any proceeding by the Corporation against such indemnitee; or (2) if a judgment or other final adjudication adverse to the indemnitee establishes his liability for (i) any breach of the duty of loyalty to the Corporation or its shareholders, (ii) acts or omissions not in good faith or which involve intentional misconduct or a knowing violation of law, or (iii) unlawful distributions under Section 48-18-304 of the Act.

     (b) The rights to indemnification and advancement of expenses set forth in paragraph 8(a) above are intended to be greater than those which are otherwise provided for in the Act, are contractual between the Corporation and the person being indemnified, his heirs, executors and administrators, and, with respect to paragraph 8(a), are mandatory, notwithstanding a person’s failure to meet the standard of conduct required for permissive indemnification under the Act, as amended from time to time. The rights to indemnification and advancement of expenses set forth in paragraph 8(a) above are nonexclusive of other similar rights which may be granted by law, this Charter, the bylaws, a resolution of the board of directors or shareholders of the Corporation, or an agreement with the Corporation, which means of indemnification and advancement of expenses are hereby specifically authorized.

     (c) Any repeal or modification of the provisions of this paragraph 8, either directly or by the adoption of an inconsistent provision of this Charter, shall not adversely affect any right or protection set forth herein existing in favor of a particular individual at the time of such repeal or modification. In addition, if an amendment to the Act limits or restricts in any way the indemnification rights permitted by law as of the date hereof, such amendment shall

apply only to the extent mandated by law and only to activities of persons subject to indemnification under this paragraph 8 which occur subsequent to the effective date of such amendment.

     9. Express Powers of Board of Directors. In furtherance of and not in limitation of the powers conferred by statute, the Corporation is expressly authorized, acting upon the authority of the board of directors and without the approval of the shareholders, to:

     (a) Issue shares of any class or series as a share dividend in respect of shares of the same class or series or any other class or series;

     (b) Fix or change the number of directors, including an increase or decrease in the number of directors;

     (c) Determine, establish or modify, in whole or in part, the preferences, limitations and relative rights of (i) any class of shares before the issuance of any shares of that class, or (ii) one or more series within a class before the issuance of any shares of that series. The board of directors is further authorized to amend this Charter, without shareholder action, to set forth such preferences, limitations and relative rights; and

     (d) Determine, in accordance with taw, the method by which vacancies occurring on the board of directors are to be filled.

     10. Removal of Directors for Cause. Directors may be removed for cause by a vote of a majority of the entire board of directors.

     11. Consideration of Non-Shareholder Constituencies. In considering whether or not to approve, or to recommend that the shareholders approve, any proposed merger, exchange, tender offer or significant disposition of assets or to oppose such proposal, the board of directors may consider the effect of such proposed merger, exchange, tender offer or significant disposition of assets on the Corporation’s employees, customers, suppliers and the communities in which the Corporation and its subsidiaries operate or are located.

/s/ Howard T. WallHoward T. Wall

Incorporator

Dated: June 4, 1997

3

CHANGE OF REGISTERED AGENT/OFFICE (BY CORPORATION)

     Pursuant to the provisions of Section 48-15-102 or 48-25-108 of the Tennessee Business Corporation Act or Section 48-55-102 or 48-65-108 of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this Application:

     1. The name of the corporation is Principal-Needles, Inc.

     2. The street address of its current registered office is 109 Westpark Drive, Suits 180, Brentwood, Tennessee 37027

     3. If the current registered office is to be changed, the street address of the new registered office, the zip code of such office, and the county in which the office is located is 1912 Hayes Street, Nashville, Tennessee 37023 Davidson

     4. The name of the current registered agent is Martin S. Rash

     5. If the current registered agent is to be changed, the name of the new registered agent is National Registered Agents, Inc.

     6. After the change(s), the street addresses of the registered office and the business office of the registered agent will the identical.

11/11/97	Principal-Needles, Inc.
Signature Date	Name of Corporation
Vice President, Secretary	/s/ Haward T. Wall
Signer’s Capacity	Signature
	Haward T. Wall
	Name (typed or printed)

CORPORATION ANNUAL REPORT
STATE OF TENNESSEE
SECRETARY OF STATE
SUITE 1800, JAMES K. POLX BUILDING
NASHVLLE. TN. 37243-0306

Amount due $20.00

CURRENT FISCAL YEAR CLOSING MONTH:     06      IF      DIFFERENT,
CORRECT MONTH IS	THIS REPORT IS DUE ON OR BEFORE 10/01/98

(1) SECRETARY OF. STATE CONTROL NUMBER: 0331984 OR FEDERAL EMPLOYER IDENTIFICATION NUMBER:

(2A.)NAME AND MIAILING ADDRESS OF CORPORATION:	(2B.)STATE OR COUNTRY OF INCORPORATION: TENNESSEE (2C.) ADD OR CHANGE MAILING ADDRESS:
	105 Westwood Place, Suite 400 Brentwood, TN 37027

(3)	A. PRINCIPAL ADDRESS INCLUDING CITY. STATE, ZIP CODE:
	109 WESTPARK DR., SUITE 180, BRENTWOOD, TM 37027
	B. CHANGE OF PRINCIPAL ADDRESS:

STREET	CITY	STATE	ZIP CODE + 4
105 Westwood Place/ Suite 400	Brentwood	TN		37027

* * BLOCKS 4A AND 4B MUST BE COMPLETED OR THE ANNUAL REPORT WILL BE RETURNED * *

(4) A. NAME AND BUSINESS ADDRESS. INCLUDING ZIP CODE. OF THE PRESIDENT, SECRETARY AND OTHER PRINCIPAL OFFICERS. (ATTACH ADDITIONAL SHEET IF NECESSARY.)

TITLE NAME BUSINESS ADDRESS CITY, STATE, ZIP CODE + 4

PRESIDENT  Martin S. Rash 105 Westwood Place, Ste, 400, Brentwood, TN 37027
SECRETARY   Howard T. Wall, III (same as above)
& Vice President

SEE ATTACHED LIST OF ADDITIONAL OFFICERS.

B. BOARD OF DIRECTORS (NAMES, BUSINESS ADDRESS INCLUDING ZIP CODE). (ATTACH ADDITIONAL SHEET IF NECESSARY.)o SAME AS ABOVEo NONE

OR LISTED BELOW: NAME BUSINESS ADDRESS CITY STATE, ZIP CODE + 4

      SEE ATTACHED LIST OF BOARD OF DIRECTORS.

(5)	A NAME OF REGISTERED AGENT AS APPEARS ON SECRETARY OF STATE RECORDS:
	NATIONAL REGISTERED AGENTS, INC.
	B. REGISTERED ADDRESS AS APPEARS ON SECRETARY OF STATE RECORDS:
	1912 HAYES STREET MASHVILLE TN 37203

(6) INDICATE BELOW ANY CHANGES TO THE REGISTERED AGENT NAME AND/OR REGISTERED OFFICE.
(BLOCK 6A AND/OR 6B.) THERE IS AN ADDITIONAL $20.00 REQUIRED FOR CHANGES MADE TO THIS INFORMATION.

          A. CHANGE OF REGISTERED AGENT:

          B. CHANGE OF REGISTERED OFFICE:

STREET CITY STATE
TN ZIP CODE + 4 COUNTY

(7) A THIS BOX APPLIES ONLY TO NONPROFIT CORPORATIONS, OUR RECORDS REFLECT THAT YOUR NONPROFIT CORPORATION IS A PUBLIC BENEFIT OR A MUTUAL BENEFIT CORPORATION AS INDICATED: IF BLANK OR CHANGE, PLEASE CHECK APPROPRIATE BOX:	o PUBLIC
	o MUTUAL

B. IF A TENNESSEE RELIGIOUS CORPORATION. PLEASE CHECK BOX UNLESS OTHERWISE INDICATED.  o RELIGIOUS

(8) SIGNATURE	(9) DATE
/s/ Howard T.Wall
Howard T.Wall	7/28/98
(10) TYPE PRINT NAME OF SIGNER:	(11) TITLE OF SIGNER
Howard T.Wall	Secretary

* * THIS REPORT MUST BE DATED AND SIGNED * *

CONTINUED ON BACK

Principal-Needles, Inc.

Additional Officers:

Richard Gore, Executive Vice President & CFO, 105 Westwood Place, Suite 400,
Brentwood, TN 37027

Steven P. Taylor, Senior Vice President, 105 Westwcod Place, Suite 400,
Brentwood, TN 37027

Brenda Rector, Vice President & Asst. Secretary, 105 Westwood Place,
Suite 400, Brentwood, TN 37027

Christopher T. Hannon, Vice President & Asst. Treasurer, 105 Westwood Place,
Suite 400, Brentwood, TN 37027

Board of Directors:

Bruce V. Rauner, 105 Westwood Place, Suite 400, Brentwood, TN 37027

A.E. Brim, 105 Westwood Place, Suite 400, Brentwood, TN 37027

Joseph P. Nolan, 105 Westwood Place, Suite 400, Brentwood, TN 37027

Michael T. Willis, 105 Westwood Place, Suite 400, Breatwood TN 37027

Martin S. Rash, 105 Westwood Place, Suite 400, Brentwood, TN 37027

David L. Steffy, 105 Westwood Place, Suite 400, Brentwood, TN 37027

SECRETARY OF STATE
DIVISION OF BUSINESS SERVICES
James K. Polk Building, Suite 1800
Nashville, TN 37243-0306

MASS CHANGE OF REGISTERED OFFICE (BY AGENT)

Pursuant to the provisions of Sections 48-15-102 and 48-25-108 of the Tennessee Business Corporation Act, Sections 48-55-102 and 48-65 108 of the Tennessee Nonprofit Corporation Act, Section 48-208-102 of the Tennessee Limited Liability Company Act, Sections 61-2-104 and 51-2-904 of the Tennessee Revised Uniform Limited Partnership Act, and Section 61-1-144 of the Tennessee Uniform Limited Partnership Act, the undersigned registered agent hereby submits this application to change its business address and the registered office address of the businesses noted below:

1.	The names of the affected corporations, limited liability companies, limited partnerships and limited liability partnerships are identified in the attached list by their S.O.S. control numbers, which list is incorporated herein by reference.
2.	The street address of its current registered office is 1912 Hayes Street, Nashville, TN 37203.
3.	The name of the current registered agent is National Registered Agents, Inc.
4.	The street address (including county) of the new registered office is:
	1900 Church Street, Suite 400, Nashville, TN 37203
5.	After the change, the street addresses of the registered office and the business office of the registered agent will be identical.
6.	The corporations, limited liability companies, limited partnerships and limited liability partnerships identified in the attached list have been notified of the change of address for the registered office.

June 13, 2000	/s/ Dennis E. Howarth
Signature Date	Signature of Registered Agent
	Dennis E. Howarth, President
	Printed or Typed Name

MASS CHANGE OF REGISTERED OFFICE (BY AGENT) Attachment

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[ILLEGIBLE]		0204232		0268865		0302617		0314767		0328936		0330951			0347829		0356645		0365503		0372543		0377344
0013298		0204735		0272206		0302679		0314842		0328972		0340175			0347830		0356646	0365675			0372725		0377351
0015920		0205644		0272978		0302692		0314885		0328974		0340176			0347835		0356713		0365712		0372743		0377469
0027374		0205731		0273409		0302694		0315159		0328976		0340312			0347871		0356730		0365874		0372789		0377484
0030950		0206141		0273646		0303088		0315256		0328977		0340550			0347906		0356971		0366023		0372805		0377520
0032679		0206454		0274568		0303343		0315377		0329019		0340829			0348050		0357127		0366385		0372922		0377710
0033334		0206658		0274685		0303561		0315604		0329084		0341065			0348217		0357128		0368352		0372927		0377711
0033516		0210656		0274928		0303625		0315665		0329090		0341275			0348321		0357129		0366622		0372951		0377712
0036948		0213041		0275142		0303637		0315876		0329163		0341626			0348550		0357256		0366850		0373013		0377713
0037564		0213644		0275958		0303807		0316067		0329494		0341627			0348558		0357260		0366956		0373123		0377714
0037849		0214563		0276122		0303945		0316205		0329603		0342001			0348596		0357361		0367148		0373159		0377715
0038264		0214842		0278307		0304076		0316211		0329906		0342286			0348597		0357374		0367487		0373209		0377716
0038305		0215899		0278743		0304309		0316212		0329927		0342672			0348599		0357384		0367721		0373271		0377717
0038806		0216032		0278844		0304592		0316358		0330153		0342732			0348741		0357488		0367722		0373484		0378088
0039716		0218901		0279371		0305124		0316420		0330427		0342743			0348742		0357730		0367723		0373592		0378105
0041186		0220992		0279426		0305175		0316576		0330619		0342822			0348752		0357748		0367756		0373719		0378130
0041278		0221027		0281077		0305192		0316676		0330825		0342916			0348768		0357812		0368115		0373845		0378301
0042965		0221201		0281545		0305193		0316744		0330837		0343043			0348789		0357869		0368132		0373846		0378489
[ILLEGIBLE]		0222701		0282173		0305195		0317414		0331122		0343096	��		0348984		0357967		036814[ILLEGIBLE]		0374013		0378522
0046935		0222864		0282257		0305341		0317944		0331328		0343164			0349059		0358021		0368299		0374014		0378610
0047278		0223337		0282289		0305448		0318062		0331468		0343782			0349259		0358024		0368300		0374019		0378881
0049397		0223842		0282293		0305882		0318121		0331626		0343899			0349333		0358089		0368301		0374020		0379008
0050000		0226356		0282308		0306030		0318183		0331781		0343900			0350003		0358139		0368637		0374046		0379014
0051913		0229089		0282555		0306127		0318193		0331815		0343961			0350004		0358169		0368841		0374101		0379172
0056938		0229629		0283725		0306874		0318899		0331984		0344069			0350005		0358411		0368932		0374237		0379284
0061425		0229899		0284003		0306973		0319119		0332079		0344130			0350322	[ILLEGIBLE]			0369000		0374293		0379606
0080534		0233065		0284278		0307092		0319121		0332086		0344287			0350408		0358762		0369002		0374378		0379624
0084520		0234807		0284967		0307093		0319354		0332369		0344348			0350474		0358790		0369098		0374739		0379852
0087719		0235361		0285380		0307094		0319459		0332381		0344531			0350801		0358947		0369191		0374760		0379861
0089422		0238691		0286351		0307427		0319594		0332717		0344561			0351152		0359194		0369216		0374765		0379916
0090848		0239019		0286752		0308043		0320068		0333391		0344703			0351422		0359237		0369290		0374777		0380100
0095940		0241680		0288443		0308044		0320452		0333956		0344856			0351533		0359422		0369462		0374781		0380190
0101274		0242863		0291008		0308177		0320515		0334016		0344877			0351610		0359426		0369473		0374817		0380217
0121025		0243980		0291171		0303256		0320665		0334092		0344969			0351784		0359605		0369673		0374828		0380444
0127452		0245707		0291267		0308400		0320701		0334673		0345180			0352024		0359809		0369685		0374856		0380490
0128817		0246910		0291332		0308482		0320853		0334883		0345286			0352287		0359670		0369830		0374880		0380502
0129744		0247322		0291600		0308686		0321303		0335039		0345308			0352289		0359951		0369840		0374883		0380526
0130745		0248451		0292022		0308688		0321623		0335079		0345331			0352805		0360046		0369874		0375038		0380729
0131765		[ILLEGIBLE]		0292717		0308931		0322132		0335188		0345484			0352834		0360111		0370155		0375082		0380996
0132439		0250041		0292720		0308980		0322333		0335348		0345682			0352908		0360112		0370217		0375208		0381006
0140186		0250177		0292722		0308998		0322462		0335398		0345724			0352970		0360138		0370628		0375318		0381137
0143707		0251029		0293256		0309106		0322707		0335621		0345980			0353050		0360205		0370629		0375344		0381373
[ILLEGIBLE]		0251776		0293347		0309318		0322953		0335804		0346014			0353060		0360409		0370631		0375631		0381581
0152408		0251566		0293457		0309639		0323261		0335910		0346055			0353367		0360512		0370670		0375635		0381789
0133518		0252401		0293842		0309654		0323405		0335954		0346056			0353390		0360642		0370719		0375795		0381811
0153954		0252478		0293900		0310115		0323553		0336128		0346373			0353526		0360674		0370720		0375796		0381861
0155579		0252532		0294231		0310237		0323921		0336172		0346440			0353726		0360852		0370832		0375797		0382242
0156622		0253310		0294428		0310388		0324370		0336205		0346465			0353776		0361266		0370897		0375798		0362243
0159077		0255139		0294355		0310523		0334780		0336270		0346541			0353972		0361514		0370898		0375862		0382463
0166469		0255746		0295456		0310551		0325267		0336509		0346703			0354087		0361809		0370971		0375889		0382464
0169144		0258650		0295938		0310608		0325327		0337065		0346833			0354088		0362220		0370975		0375904		0382465
0170656		0257260		0295939		0310747		0325328		0337133		0346834			0354283		0362312		0371029		0376035		0382551
0172473		0257581		0296262		0310863		0325538		0337235		0347109			0354516		0362390		0371193		0376095		0382560
0173593		0257582		0296681		0311309		0325913		0337383		0347313			0354613		0362419		0371232		0376100		0382561
0175325		0257858		0296929		0311523		0326180		0337706		0347470			0354710		0362706		0371238		0376105		0382571
0176741		0258007		0297358		0311592		0326259		0337827		0347477			0354833		0382839		0371330		0376107		0382755
0177066		0258177		0297632		0311960		0326387		0337940		0347492			0354885		0362987		0371399		0376109		0382805
0177900		0258229		0297689		0312014		0326412		0338247		0347532			0354901		0363111		0371532		0376128		0382837
0178147		0258635		0298837		0312031		0326449		0338319		0347545			0355261		0363256		0371717		0376171		0382839
0180027		0260308		0299150		0312246		0327178		0338552		0347781			0355317		0363407		0371790		0376222		0382899
0180215		0260598		0299386		0312308		0327316		0338960		0347811			0355318		0363489		0371857		0376282		0382912
0181994		0263007		0299569		0312633		0327355		0339156		0347812			0355375		0363491		0371883		0376284		0383060
0184029		0263430		0299860		0312641		0327418		1339187		0347814			0355548		0363888		0371907		0376554		0383268
0187673		0264354		02991887		0312900		0327595		0349325		0347815			0355857		0364019		0371932		0379555		0383434
0189316		0254938		0300252		0313025		0327947		0339333		[ILLEGIBLE]			0355719		0364283		0371958	0376574			0383510
0189527	[ILLEGIBLE]			0300064		0313044	[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]			[ILLEGIBLE]		0364373		0371980		0376638			0383642
[ILLEGIBLE]	[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]			[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]		[ILLEGIBLE]
0190702		0266237		0300783		0313272		0328095		0339429		034.823			0355904		0364525		0371981		0377047		0383768
0194773		0266419		0301298		0314287		0328193		0339533		0347824			0355909		0364640		0372248		0377078		0383842
0197927		0266749		0301449		0314292		0328333		0339604		0347825			0356099		0965201		0372281		0377078		0383847
0198067		0266816		0302209		0314408		0328718		0339612		0347826			0356105		0365217		0372331		0377173		0383894
0200536		0268223		0302261		0314635		0328862		0339792		0347827			0356183		0365259		0372358		0377276		0384154

0384193

0384328

0384329

0384458

0384461

0384621

0384668

0384744

0384822

0384913

0385043

0385154

0385250

0385378

0385456

0385484

0385507

0385712

0385713

0385714

0385715

0385716

0385717

0385770

0386164

0386268

0386388

0386549

0386613

0386750

0366985

0387039

0387348

038381

0387428

0387474

0387572

0387728

0387803

0387841

0387893

0388007

0388141

0388244

0388564

0388617

0388634

0389084

[ILLEGIBLE]

0389230

0389275

0389349

0389446

0389470

Attachment to Mass Change of Registered Office for National Registered Agents, Inc. page 2 of 2 pages

Corporate Filings
312 Eighth Avenue North
6^th Floor, William R. Snodgrass Tower
Nashville 37243 CHANGE OF REGISTERED
AGENT/OFFICE
(BY CORPORATION) For Office Use Only

     Pursuant to the provisions of Section 48-15-102 or 48-25-108 of the Tennessee Business Corporation Act or Section 48-55-102 or 48-65-108 of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this application:

     1. The name of the corporation is Principal-Needles, Inc.

     2. The street address of its current registered office is 1900 Church Street, Suite 400, Nashville, TN 37203.

     3. If the current registered office is to be changed, the street address of the new registered office, the zip code of suck office, and the county in which the office is located is 800 S. Gay Street, Suite 2021, Knoxville, TN 37929 (County of Knox).

     4. The name of the current registered agent is National Registered Agents, Inc.

     5. If the current registered agent is to be changed, the name of the new registered agent is CT Corporation System.

     6. After the change(s), the street addresses of the registered office and the business office of the registered agent will be identical.

July 1, 2005	Principal-Needles, Inc.
Signature Date	Name of Corporation
Assistant Secretary	/s/ Mary Kim E. Shipp
Signer’s Capacity	Signature
	Mary Kim E. Shipp
	Name (typed or printed)

SS-4427 (Rev. 6/03) Filling Fee $20.00 RDA1678

CORPORATION ANNUAL REPORT
Annual Report Filing Fee Due:
     $20, If no changes are made in block #6 to the registered agent/office, or
     $40, If any changes are made in block #6 to the registered agent/office Please return completed form to:

TENNESSEE SECRETARY OF STATE
Attn: Annual Report
312 Eighth Ave. N. 6th Floor
William R. Snodgrass Tower
Nashville, TN. 37243

CURRENT FISCAL YEAR CLOSING MONTH:	12  IF DIFFERENT,
CORRECT MONTH IS		THIS REPORT IS DUE ON OR BEFORE 04/01/06

(1) SECRETARY OF STATE CONTROL NUMBER: 0331984

(2A.) NAME AND MAILING ADDRESS OF CORPORATION:

(2B.) STATE OR COUNTRY OF INCORPORATION:
TENNESSEE
(2C.) ADD OR CHANGE MAILING ADDRESS:
103 Powell Court
Suite 200
Brentwood, TN 37027

(3)	A. PRINCIPAL ADDRESS INCLUDING CITY, STATE, ZIP CODE:
	105 WESTWOOD PLACE, SUITE 400, BRENTWOOD, TN 37027
	B. CHANGE OF PRINCIPAL ADDRESS:

STREET	CITY	STATE	ZIP CODE + 4
103 Powell Court, Suite 200	Brentwood	TN		37027

(4) NAME AND BUSINESS ADDRESS, INCLUDING ZIP CODE, OF THE PRESIDENT, SECRETARY AND OTHER PRINCIPAL OFFICERS. (ATTACH ADDITIONAL SHEET IF NECESSARY.)

TITLE	NAME	BUSINESS ADDRESS	CITY, STATE, ZIP CODE + 4
PRESIDENT	See Attachment
SECRETARY

(5) BOARD OF DIRECTORS (NAMES, BUSINESS ADDRESS INCLUDING ZIP CODE). (ATTACH ADDITIONAL SHEET IF NECESSARY.)o SAME AS ABOVEo NONE OR LISTED BELOW:

NAME	BUSINESS ADDRESS	CITY, STATE, ZIP CODE + 4
See Attachment

(6)	A. NAME OF REGISTERED AGENT AS APPEARS ON SECRETARY OF STATE RECORDS:
	CT CORPORATION SYSTEM
	B. REGISTERED ADDRESS AS APPEARS ON SECRETARY OF STATE RECORDS:
	800 S GAY STREET, SUITE 2021, KNOXVILLE, TN 37929
C.	INDICATE BELOW ANY CHANGES TO THE REGISTERED AGENT NAME AND/OR REGISTERED OFFICE.

(I).	CHANGE OF REGISTERED AGENT:
(II).	CHANGE OF REGISTERED OFFICE:

STREET	CITY	STATE	ZIP CODE + 4	COUNTY
		TN

(7) A. THIS BOX APPLIESONLY TO NONPROFIT CORPORATIONS. OUR RECORDS REFLECT THAT YOUR NONPROFIT CORPORATION IS A PUBLIC BENEFIT OR A MUTUAL BENEFIT CORPORATION AS INDICATED:	o PUBLIC
If BLANK OR INCORRECT, PLEASE CHECK APPROPRIATE BOX:	o MUTUAL

B. IF A TENNESSEE RELIGIOUS CORPORATION, PLEASE CHECK BOX IF BLANK.                o RELIGIOUS

(8) SIGNATURE	(9) DATE
/s/ Mary Kim E. Shipp	03/06/06
(10) TYPE PRINT NAME OF SIGNER:	(11) TITLE OF SIGNER
Mary Kim E. Shipp	Assistant Secretary

* * THIS REPORT MUST BE DATED AND SIGNED * *

CONTINUED ON BACK

Principal-Needles, Inc.
103 Powell Court, Suite 200
Brentwood, Tennessee 37027
(615) 372-8500

Officers:
Michael A. Wiechart	President
William F. Carpenter III	Executive Vice President and Secretary
Michael J. Culotta	Chief Financial Officer
William M. Gracey	Chief Operations Officer
R. Scott Raplee	Senior Vice President
Jonathan C. Wall	Vice President
Gary D. Willis	Vice President
William E. Hoffman, Jr.	Vice President
W. Vail Willis	Vice President
Christopher J. Monte	Vice President
Mary Kim E. Shipp	Assistant Secretary

Directors:

William F. Carpenter III
Michael J. Culotta

Mailing Address for all Officers and Directors:

103 Powell Court, Suite 200
Brentwood, TN 37027