FEC Form 1 for Health Net, Incorporated Political Action CommitteeForm 1 for Health Net, Incorporated Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1057724

1. Health Net, Incorporated Political Action Committee

455 Capitol Mall, Suite 600
Sacramento, CA 95814
Email: feccomm@bmhlaw.com

2. Date: 03/30/2016

3. FEC Committee ID #: C00230789 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# C00397851
Centene Corporation Political Action Committee (Centene PAC)
Centene Plaza 7700, Forsyth Blvd.
Saint Louis, Missouri 63105
Affiliated Relationship Code: Affiliated Committee

Health Net, Inc.
21650 Oxnard Street, 25th Floor
Woodland Hills, California 91367
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Thomas W. Hiltachk
455 Capitol Mall, Suite 600
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-7757

Treasurer:

Thomas W. Hiltachk
455 Capitol Mall, Suite 600
Sacramento, California 95814
Title: Treasurer
Phone # (916) 442-7757

Designated Agent(s):

Ashlee N. Titus
455 Capitol Mall, Suite 600
Sacramento, California 95814
Title: Assistant Treasurer
Phone # (916) 442-7757

Banks or Depositories

California Bank & Trust
550 South Hope Street, Suite 100
Los Angeles, California 90071

Signed: Thomas W. Hiltachk
Date Signed: 03/30/2016

(End FEC FORM 1)

Generated Thu Jul 11 04:08:55 2024