FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-113183
1. GOLDEN RULE FINANCIAL CORPORATION - POLITICAL ACTION COMMITTEE
7440 WOODLAND DRIVEINDIANAPOLIS, IN 46278
Fax: 3172980875
2. Date: 03/31/2004
3. FEC Committee ID #: C00231407 This committee is a Separate Segregated FundAffiliated Committees/Organizations
UNITED HEALTH GROUP INCORPORATED POLITICAL FUND9900 BREN ROAD EAST
MINNETONKA, Minnesota 55343
Relationship: AFFILIATED COMMITTEE
Organization Type: Corporation
MID ATLANTIC MEDICAL SERVICES INC. POL
4 TAFT COURT
ROCKVILLE, Maryland 20850
Relationship: AFFILIATED
Organization Type: Corporation
Custodian of Records:
Mr. Patrick Carr9088 NAUTICAL WATCH DRIVE
Indianapolis, IN 46236
Title: TREASURER
Phone # (317) 290-8100
Treasurer:
Mr. Patrick Carr9088 NAUTICAL WATCH DRIVE
Indianapolis, Indiana 46236
Title: TREASURER
Phone # (317) 290-8100
Designated Agent(s):
CT CORPORATION SYSTEM36 S. PENNSYLVANIA STREET STE 700
INDIANAPOLIS, Indiana 46204
Banks or Depositories
Bank One111 MONUMENT CIRCLE
Indianapolis, Indiana 46277