FEC Form 1 for Humana Inc. Political Action CommitteeForm 1 for Humana Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1706199

1. Humana Inc. Political Action Committee

500 West Main Street
Louisville, KY 40202

NOTE: Address is different than previously reported

Email: humanapac@humana.com

2. Date: 05/31/2023

3. FEC Committee ID #: C00271007 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

Humana Inc.
500 West Main Street
Louisville, Kentucky 40202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Alyssa Greenhut
500 West Main Street
Louisville, KY 40202
Title: Assistant Treasurer
Phone # (502) 715-9804

Treasurer:

Anmol Jay Khosla
500 West Main Street
Louisville, Kentucky 40202
Title: Treasurer
Phone # (703) 307-0918

Designated Agent(s):

Alyssa Greenhut
500 West Main Street
Louisville, Kentucky 40202
Title: Assistant Treasurer
Phone # (502) 715-9804

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1706199

1. Humana Inc. Political Action Committee

NOTE: Address is different than previously reported

2. Date: 05/31/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Anmol Jay Khosla
Date Signed: 05/31/2023

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1706199

1. Humana Inc. Political Action Committee

NOTE: Address is different than previously reported

2. Date: 05/31/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Anmol Jay Khosla Date Signed: 05/31/2023

(End FEC FORM 1)

Signed: Anmol Jay Khosla
Date Signed: 05/31/2023