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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-321697

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1. Wellmark, Inc. PAC (WellPac)

    636 Grand Avenue
    Sta. 13
    Des Moines, IA 50309
    Fax: 5152995873
    Email: governmentrelations@wellmark.com

2. Date: 02/08/2008

3. FEC Committee ID #: C00342022 This committee is a Principal Campaign Committee. Candidate:
Party:
Office Sought:
State is in District:

Affiliated Committees/Organizations

Custodian of Records:

Ms. Janet Griffin
410 27th Street
Des Moines, IA 50312
Title: Treasurer
Phone # (515) 245-5139

Treasurer:

Ms. Janet Griffin
410 27th Street
Des Moines, Iowa 50312
Title: Treasurer
Phone # (515) 245-5139

Designated Agent(s):

Banks or Depositories

Bankers Trust
453 7th Street
Des Moines, Iowa 50309

Signed: Ms. Janet Griffin
Date Signed: 02/08/2008
Official Committee FAX: 5152995873

(End FEC FORM 1)

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