FEC Form 1 for Sierra Health Services Political Action CommitteeForm 1 for Sierra Health Services Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-325309

1. Sierra Health Services Political Action Committee

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

2. Date: 02/29/2008

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

Affiliated Committees/Organizations

Committee ID# C00274431
UNITEDHEALTH GROUP INCORPORATED PAC (UNITED FOR HEALTH)
9900 Bren Road East
9900 BREN ROAD EAST
Minnetonka, Minnesota 55343
Relationship: Affiliated Committee
Organization Type: Corporation

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: 02/29/2008
Official Committee FAX: 7022427931

(End FEC FORM 1)

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