FEC Form 1 for GOLDEN RULE FINANCIAL CORPORATION - POLITICAL ACTION COMMITTEEForm 1 for GOLDEN RULE FINANCIAL CORPORATION - POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-136292

1. GOLDEN RULE FINANCIAL CORPORATION - POLITICAL ACTION COMMITTEE

7440 WOODLAND DRIVE
INDIANAPOLIS, IN 46278
Fax: 3172980875

2. Date: 09/29/2004

3. FEC Committee ID #: C00231407 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

UNITED HEALTH GROUP INCORPORATED POLITICAL FUND
9900 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

OXFORD HEALTH PLANS INC. COMMITTEE FOR
48 MONROE TURNPIKE
TRUMBELL, Connecticut 06611
Relationship: AFFILIATED COMMITTEE
Organization Type: Corporation

Custodian of Records:

Mr. Patrick Carr
9088 NAUTICAL WATCH DRIVE
Indianapolis, IN 46236
Title: TREASURER
Phone # (317) 290-8100

Treasurer:

Mr. Patrick Carr
9088 NAUTICAL WATCH DRIVE
Indianapolis, Indiana 46236
Title: TREASURER
Phone # (317) 290-8100

Designated Agent(s):

CT CORPORATION SYSTEM
36 S. PENNSYLVANIA STREET STE 700
INDIANAPOLIS, Indiana 46204

Banks or Depositories

Bank One
111 MONUMENT CIRCLE
Indianapolis, Indiana 46277

Signed: Mr. Patrick Carr
Date Signed: 09/29/2004
Official Committee FAX: 3172980875

(End FEC FORM 1)

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