FEC Form 1 for UnitedHealth Group Incorporated PAC (United for Health)Form 1 for UnitedHealth Group Incorporated PAC (United for Health)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-166504

1. UnitedHealth Group Incorporated PAC (United for Health)

NOTE:Commmittee Name is different than previously reported

9900 Bren Road East
Minnetonka, MN 55343
Fax: 202-383-6412
Email: andrew_g_tapling@uhc.com / manuela_s_boehm@uhc.com

2. Date: 03/02/2005

3. FEC Committee ID #: C00274431 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

UnitedHealth Group Incorporated
9900 Bren Road East
Minnetonka, Minnesota 55343
Relationship: Connected
Organization Type: Corporation

Golden Rule Financial Corporation Poli
7440 Woodland Drive
Indianapolis, Indiana 46278
Relationship: Affiliated Committee

Mid Atlantic Medical Services Inc Poli
4 Taft Court
Rockville, Maryland 20850
Relationship: Affiliated Committee

Oxford Health Plans Inc. Committee for
48 Monroe Turnpike
Trumbull, Connecticut 06611
Relationship: Affiliated Committee

Custodian of Records:

Andrew Tapling
9900 Bren Road East
Minnetonka, MN 55343
Title: Book Keeper
Phone # (952) 936-7140

Treasurer:

Patrick J. Erlandson
9900 Bren Road East
Minnetonka, Minnesota 55343
Title: Treasurer
Phone # (952) 936-5901

Designated Agent(s):

Scott Theisen
9900 Bren Road East
MN008-W395
Minnetonka, Minnesota 55343
Title: Asst. Treasurer
Phone # (952) 936-7141

Banks or Depositories

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

Signed: Patrick J. Erlandson
Date Signed: 03/02/2005
Official Committee FAX: 202-383-6412

(End FEC FORM 1)

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