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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-937521


1. Humana Inc. Political Action Committee

    975 F Street, NW
    Suite 550
    Washington, DC 20004
    Email: humanapac@humana.com

2. Date: 07/14/2014

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.
975 F Street, NW
Suite 550
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Jane O'Connor
975 F Street, NW
Suite 550
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 467-8683

Treasurer:

Mr. Douglas Stoss
975 F Street, NW
Suite 550
Washington, DC 20004
Title: Treasurer
Phone # (202) 467-8682

Designated Agent(s):

Banks or Depositories

Bank of America
600 Peachtree St.
Atlanta, Georgia 30308

Signed: Mr. Douglas Stoss
Date Signed: 07/14/2014

(End FEC FORM 1)


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