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-336135

1. UnitedHealth Group Incorporated PAC (United for Health)

9900 Bren Road East
Minnetonka, MN 55343
Fax: 202-383-6412
Email: andrew_g_tapling@uhc.com / manuela_s_boehm@uhc.com

2. Date: 04/24/2008

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

Affiliated Committees/Organizations

Sierra Health Services Political Action Committee
P.O. Box 15645
Las Vegas, Nevada 89114
Relationship: Affiliated Committee

Fiserv Health Inc. Political Action Co
5500 Wayata Blvd
Suite 500
Minneapolis, Minnesota 55416
Relationship: Affiliated Committee

UnitedHealth Group
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

Mid Atlantic Medical Serivces Inc. Pol
4 Taft Court
Rockville, Maryland 20850
Relationship: Affiliated Committee

Oxford Health Plans, Inc. Committee fo
48 Monroe Turnpike
Trumbell, Connecticut 06611
Relationship: Affiliated Committee

PacificCare Health Systems Inc. Employ
5995 Plaza Drive M/S CY20-538
Cyprus, California 90630
Relationship: Affiliated Committee

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):

Karen Erickson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Designated Agent

Karen Erickson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Designated Agent

Karen Erickson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Designated Agent

Karen Erickson
9900 Bren Road East
MInnetonka, Minnesota 55343
Title: Designated Agent

Karen Erickson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Designated Agent

Karen Erickson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Designated Agent

Karen Erickson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Designated Agent

Banks or Depositories

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Signed: Eric Rangen
Date Signed: 04/24/2008
Official Committee FAX: 202-383-6412

FORM TEXT

(End FEC FORM 1)

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