FEC Form 1 for Magellan Health Services, Inc. Employee Committee for Good GovernmentForm 1 for Magellan Health Services, Inc. Employee Committee for Good Government

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407306

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

55 Nod Road
Avon, CT 06001
Email: rmcopeland@magellanhealth.com

2. Date: 03/12/2009

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 Service, Inc.
55 Nod Road
Avon, Connecticut 06001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Ms M. Robin Copeland-Carmon
6950 Columbia Gateway Drive
Columbia, Maryland 21046
Title: Treasurer
Phone # (410) 953-1623

Designated Agent(s):

Ms Mary Leigh Marsden
6950 Columbia Gateway Drive
Columbia, Maryland 21046
Title: Asst Treasurer
Phone # (410) 953-1609

Banks or Depositories

Provident Bank
9011 Snowden River Parkway
Columbia, Maryland 21046

Signed: Ms M. Robin Copeland-Carmon
Date Signed: 03/12/2009

(End FEC FORM 1)

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