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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-941525

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1. UnitedHealth Group Incorporated PAC (United for Health)

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

    NOTE: Email address is different than previously reported

2. Date: 07/17/2014

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:

PAC Outsourcing LLC
5845 Richmond Highway
Suite 820
Alexandria, VA 22303
Title: Custodian of Records
Phone # (703) 347-6551

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: 07/17/2014

(End FEC FORM 1)

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