FEC Form 1 for Coventry Health Care Inc - First Health Group PACForm 1 for Coventry Health Care Inc - First Health Group PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-453315

1. Coventry Health Care Inc - First Health Group PAC

901 New York Avenue NW Third Floor
Washington, DC 20001
Email: mdschooley@cvty.com

2. Date: 02/19/2010

3. FEC Committee ID #: C00217216 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

Coventry Health Care Inc.
6705 Rockledge Drive Suite 900
Bethesda, Maryland 20817
Affiliated Relationship Code: Connected Organization

First Health
3200 Highland Avenue
Downers Grove, Illinois 60515
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Melissa Schooley
901 New York Avenue NW Third Floor
Washington, DC 20001
Title: Custodian
Phone # (866) 731-9578

Treasurer:

John Ruhlmann
6705 Rockledge Dr. Suite 900
Bethesda, Maryland 20817
Title: Treasurer
Phone # (301) 581-5867

Designated Agent(s):

Banks or Depositories

J.P. Morgan Chase Bank
300 South Riverside Plaza
Mailcode IL1-0196 Flr 18
Chicago, Illinois 60670

Signed: John Ruhlmann
Date Signed: 02/11/2010

FORM TEXT

(End FEC FORM 1)

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