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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1366193

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1. UnitedHealth Group Incorporated PAC (UnitedHealth Group PAC)

    701 Pennsylvania Ave, NW
    Suite 200
    Washington, DC 20004
    Email: unitedhealthgrouppac@uhg.com,uhg@electioncompliance.com

2. Date: 12/12/2019

3. FEC Committee ID #: C00274431 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

UnitedHealth Group Incorporated
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Connected Organization

Equian, LLC Political Action Committee
9390 Bunsen Parkway
Louisville, Kentucky 40220
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

PAC Outsourcing LLC
5845 Richmond Highway
Suite 820
Alexandria, VA 22303
Title: Custodian of Records
Phone # (703) 347-6551

Treasurer:

Kelly Davis
701 Pennsylvania Avenue, N.W.
Suite 200
Washington, DC 20004
Title: Treasurer
Phone # (202) 383-6424

Designated Agent(s):

Morganne Rosenhaus
701 Pennsylvania Ave, NW
Suite 200
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 383-6424

Banks or Depositories

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Signed: Kelly Davis
Date Signed: 12/12/2019

FORM TEXT-1

(End FEC FORM 1)

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