FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-744478
1. Coventry Health Care Inc - First Health Group PAC
6720-B Rockledge Dr., Suite 800Bethesda, MD 20817
Email: mdeyles@cvty.com
2. Date: 09/12/2011
3. FEC Committee ID #: C00217216 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Coventry Health Care Inc.6720-B Rockledge Dr., Suite 800
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:
Matthew D Eyles6720-B Rockledge Dr., Suite 800
Bethesda, MD 20817
Title: Custodian
Phone # (301) 581-5690
Treasurer:
John Ruhlmann6720-B Rockledge Dr., Suite 800
Bethesda, Maryland 20817
Title: Treasurer
Phone # (301) 581-5867
Designated Agent(s):
Banks or Depositories
J.P. Morgan Chase Bank300 S. Riverside Plza MC IL 1-
Chicago, Illinois 60670