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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-231662

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1. WellCare Health Plans Inc. PAC (WellCare PAC)

    NOTE:Commmittee Name is different than previously reported

    8735 Henderson Road REN 2
    Suite 270
    Tampa, FL 33634
    Email: Thad.Bereday@wellcare.com

2. Date: 08/02/2006

3. FEC Committee ID #: C00390575 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

WellCare Health Plans Inc.
8735 Henderson Road REN 2
Suite 270
Tampa, Florida 33634
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Thaddeus M. Bereday
8735 Henderson Road REN 2
Suite 270
Tampa, FL 33634
Title: Secretary
Phone # (813) 290-6353

Treasurer:

David K. Smith
8735 Henderson Road REN 2
Suite 270
Tampa, Florida 33634
Title: Treasurer
Phone # (813) 290-6312

Designated Agent(s):

Todd S. Farha
8735 Henderson Road REN 2
Suite 270
Tampa, Florida 33634
Title: Assistant Treasurer
Phone # (813) 290-6316

Banks or Depositories

Wachovia Bank
100 S. Ashley
Tampa, Florida 33602

Signed: David K. Smith
Date Signed: 08/02/2006

(End FEC FORM 1)

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