FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1166533
1. Wellcare Health Plans, Inc. PAC (WellCare PAC)
8735 Henderson RoadTampa, FL 33634
Email: Jacob.Horner@wellcare.com;nwatkins@robertwatkins.com
NOTE: Email address is different than previously reported
2. Date: 04/28/2017
3. FEC Committee ID #: C00390575 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
WellCare Health Plans, Inc.8735 Henderson Road
Tampa, Florida 33634
Affiliated Relationship Code: Connected Organization
Committee ID# C00433029
Universal American Corp. PAC
44 South Broadway
Suite 1200
White Plains, New York 10601
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Nancy H. Watkins610 S. Boulevard
Tampa, FL 33606
Title: Custodian
Phone # (813) 254-3369
Treasurer:
Goran Jankovic8735 Henderson Road
Tampa, Florida 33634
Title: Treasurer
Phone # (813) 290-6200
Designated Agent(s):
Goran Jankovic8735 Henderson Road
Tampa, Florida 33634
Title: Assistant Treasurer
Phone # (813) 290-6200
Banks or Depositories
Wells Fargo BankP. O. Box 563966
Charlotte, North Carolina 28262