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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408244

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1. WellPoint, Inc. WELLPAC

    120 Monument Circle
    Indianapolis, IN 46204
    Email: Tracy.Winn@anthem.com

2. Date: 03/19/2009

3. FEC Committee ID #: C00197228 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00197228
WellPoint, Inc.
120 Monument Circle
Indianapolis, Indiana 46204
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tracy Winn
120 Monument Circle
Indianapolis, IN 46204
Title: Assistant Treasurer
Phone # (317) 488-6134

Treasurer:

Marjorie Maginn
120 Monumnet Circle
Indianapolis, Indiana 46204
Title: Treasurer
Phone # (317) 488-6351

Designated Agent(s):

Tracy Winn
120 Monument Circle
Indianapolis, Indiana 46204
Title: Assistant Treasurer
Phone # (317) 488-6134

Banks or Depositories

JP Morgan Chase Bank N.A.
111 Monument Circle
Indianapolis, Indiana 46204

Signed: Ms. Marjorie Maginn
Date Signed: 03/19/2009

(End FEC FORM 1)

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