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FEC Form 1 for WellCare Health Plans, Inc. PAC (WellCare PAC)Form 1 for WellCare Health Plans, Inc. PAC (WellCare PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-320835


1. WellCare Health Plans, Inc. PAC (WellCare PAC)

    8735 Henderson Road REN 2
    Suite 270
    Tampa, FL 33634
    Email: paccorrespondence@wellcare.com

2. Date: 01/31/2008

3. FEC Committee ID #: C00390575 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

WellCare Health Plans, Inc.
8735 Henderson Road REN 2
Suite 270
Tampa, Florida 33634
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Brian Ollech
8735 Henderson Road
REN 2 Suite 270
Tampa, FL 33634
Title: Custodian
Phone # (813) 290-6200

Treasurer:

William White
8735 Henderson Road
REN 2 Suite 270
Tampa, Florida 33634
Title: Treasurer
Phone # (813) 290-6200

Designated Agent(s):

Marc Ryan
8735 Henderson Road
REN 2 Suite 270
Tampa, Florida 33634
Title: Assistant Treasurer
Phone # (813) 290-6200

Banks or Depositories

Wachovia Bank
100 S. Ashley
Tampa, Florida 33602

Signed: William White
Date Signed: 02/01/2008

(End FEC FORM 1)


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