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-484742

1. Coventry Health Care Inc - First Health Group PAC

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

2. Date: 07/27/2010

3. FEC Committee ID #: C00217216 This committee is a separate segregated fund. Its connected organization is a Corporation

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:

Joseph J Winn
901 New York Ave. NW
Washington, DC 20001
Title: Custodian
Phone # (202) 408-0186

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 S. Riverside Plza MC IL 1-
Chicago, Illinois 60670

Signed: John Ruhlmann
Date Signed: 07/27/2010

FORM TEXT

(End FEC FORM 1)

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