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-422828

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

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

2. Date: 07/09/2009

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:

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

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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-422828

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

2. Date: 07/09/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Ms M. Robin Copeland-Carmon
Date Signed: 07/10/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-422828

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

2. Date: 07/09/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Ms M. Robin Copeland-Carmon Date Signed: 07/10/2009

(End FEC FORM 1)

Signed: Ms M. Robin Copeland-Carmon
Date Signed: 07/10/2009