FEC Form 1 for UNITEDHEALTH GROUP INCORPORATED PAC (UNITED FOR HEALTH)Form 1 for UNITEDHEALTH GROUP INCORPORATED PAC (UNITED FOR HEALTH)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-265369

1. UNITEDHEALTH GROUP INCORPORATED PAC (UNITED FOR HEALTH)

9900 Bren Road East
Minnetonka, MN 55343
Fax: 2023836412
Email: andrew_g_tapling@uhc.com / manuela_s_boehm@uhc.com

2. Date: 12/11/2006

3. FEC Committee ID #: C00274431 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

UnitedHealth Group Inc.
9900 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
Organization Type: Corporation

Custodian of Records:

Andrew Tapling
9900 Bren Road East
Minnetonka, MN 55343
Title: Book Keeper
Phone # (952) 936-7140

Treasurer:

Eric Rangen
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Treasurer
Phone # (952) 936-5778

Designated Agent(s):

Scott Theisen
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Asst. Treasurer
Phone # (952) 936-7141

Jack W. Shields
3803 North Elm Street
Greensboro, North Carolina 27455
Title: Asst. Treasurer
Phone # (952) 936-1300

Banks or Depositories

Mellon Bank
P.O Box 329
Pittsburgh, Pennsylvania 15230

Signed: Eric Rangen
Date Signed: 12/11/2006
Official Committee FAX: 2023836412

(End FEC FORM 1)

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