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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1039414

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1. Magellan Health, Inc. Employee Committee for Good Government

    6950 Columbia Gateway Drive
    Columbia, MD 21046

    NOTE: Address is different than previously reported

    Email: mcopeland@magellanhealth.com;mlmarsden@magellanhealth.com

    NOTE: Email address is different than previously reported

2. Date: 01/13/2016

3. FEC Committee ID #: C00247262 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

Magellan Health, Inc.
6950 Columbia Gateway Drive
Columbia, Maryland 21046
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Mary Leigh Marsden
6950 Columbia Gateway Drive
Columbia, MD 21046
Title: Custodian of Records
Phone # (410) 953-1609

Treasurer:

M. Robin Copeland
6950 Columbia Gateway Drive
Columbia, Maryland 21046
Title: Treasurer
Phone # (410) 953-4701

Designated Agent(s):

Ms Mary Leigh Marsden
6950 Columbia Gateway Drive
Columbia, Maryland 21046
Title: Assistant Treasurer

Banks or Depositories

M&T Bank
25 S Charles Street
Baltmore, Maryland 21202

Signed: Ms M. Robin Copeland
Date Signed: 01/13/2016

(End FEC FORM 1)

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