FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-410172
1. Wellmark, Inc. PAC (WellPac)
636 Grand AvenueSta. 13
Des Moines, IA 50309
Email: governmentrelations@wellmark.com
2. Date: 03/27/2009
3. FEC Committee ID #: C00342022 This committee is a separate segregated fund. Its connected organization is aIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Wellmark, Inc.636 Grand Ave
Station 13
Des Moines, Iowa 50309
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Ms Janet Griffin636 Grand Avenue, Station 13
Des Moines, IA 50309
Title: Treasurer
Phone # (515) 245-5139
Treasurer:
Ms Janet Griffin636 Grand Avenue, Station 13
Des Moines, Iowa 50309
Title: Treasurer
Phone # (515) 245-5139
Designated Agent(s):
Frank J. Stork636 Grand Avenue, Station 13
Des Moines, Iowa 50309
Title: Assistant Treasurer
Phone # (515) 248-5373
Banks or Depositories
Bankers Trust453 7th Street
Des Moines, Iowa 50309