FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-198254
1. UnitedHealth Group Incorporated PAC (United for Health)
9900 Bren Road EastMinnetonka, MN 55343
Fax: 202-383-6412
Email: andrew_g_tapling@uhc.com / manuela_s_boehm@uhc.com
2. Date: 01/25/2006
3. FEC Committee ID #: C00274431 This committee is a Separate Segregated FundAffiliated Committees/Organizations
UnitedHealth Group Incorporated9900 Bren Road East
Minnetonka, Minnesota 55343
Relationship: Connected
Organization Type: Corporation
Golden Rule Financial Corporation Poli
7440 Woodland Drive
Indianapolis, Indiana 46278
Relationship: Affiliated Committee
PACIFICARE HEALTH SYSTEMS INC. EMPLOYE
5995 Plaza Drive M/S CY20-536
Cyprus, California 90630
Relationship: Affiliated Committee
Custodian of Records:
Andrew Tapling9900 Bren Road East
Minnetonka, MN 55343
Title: Book Keeper
Phone # (952) 936-7140
Treasurer:
Patrick J. Erlandson9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Treasurer
Phone # (952) 936-5901
Designated Agent(s):
Scott Theisen9900 Bren Road East
MN008-W395
Minnetonka, Minnesota 55343
Title: Asst. Treasurer
Phone # (952) 936-7141
Banks or Depositories
Mellon BankP.O. Box 329
Pittsburgh, Pennsylvania 15230