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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-289879

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1. Sierra Health Services Political Action Committee

    PO Box 15645
    Las Vegas, NV 891145645
    Fax: 7022427931
    Email: atinker@sierrahealth.com

2. Date: 05/30/2007

3. FEC Committee ID #: C00295360 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Ms Ann Tinker
PO Box 15645
Las Vegas, NV 891145645
Title: Manager
Phone # (702) 242-7191

Treasurer:

Ms. Marie Soldo
PO Box 15645
Las Vegas, Nevada 891145645
Title: Treasurer
Phone # (702) 242-7190

Designated Agent(s):

Mr. Jack Kim
PO Box 15645
Las Vegas, Nevada 891145645
Title: Assistant Treasurer
Phone # (702) 240-8890

Banks or Depositories

Bank of America
PO Box 798
Wichita, Kansas 67201

Signed: Ms. Marie Soldo
Date Signed: 05/30/2007
Official Committee FAX: 7022427931

(End FEC FORM 1)

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