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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-858821

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1. UnitedHealth Group Incorporated PAC (United for Health)

    9900 Bren Road East
    Minnetonka, MN 55343
    Email: unitedforhealthpac@uhg.com

2. Date: 02/28/2013

3. FEC Committee ID #: C00274431 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

UnitedHealth Group Incorporated
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cresta Hill
701 Pennsylvania Avenue, N.W.
Suite 650
Washington, DC 20004
Title: PAC Administrator
Phone # (202) 654-9928

Treasurer:

Susan Sherwood
701 Pennsylvania Avenue, N.W.
Suite 650
Washington, DC 20004
Title: Treasurer
Phone # (202) 654-9928

Designated Agent(s):

Robyn Lippert
701 Pennsylvania Avenue, N.W.
Suite 650
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 383-6415

Banks or Depositories

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

Signed: Susan Sherwood
Date Signed: 02/28/2013

(End FEC FORM 1)

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