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-721095

1. Coventry Health Care Inc - First Health Group PAC

15400 Calhoun Drive Suite 300
Rockville, MD 20855

NOTE: Address is different than previously reported

Email: JosephWinn@firsthealth.com

NOTE: Email address is different than previously reported

2. Date: 04/07/2011

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:

Joseph J Winn
15400 Calhoun Drive
Suite 300
Bethesda, MD 20855
Title: Custodian
Phone # (202) 557-9232

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: 04/07/2011

FORM TEXT

(End FEC FORM 1)

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