FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-266620
1. Fiserv Health Inc PAC
5500 Wayzata BlvdSuite 500
Minneapolis, MN 55416
Fax: 715-841-6195
Email: paul.buchberger@wausaubenefits.com
2. Date: 12/20/2006
3. FEC Committee ID #: C00399949 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Fiserv Health Inc5500 Wayzata Blvd
Suite 500
Minneapolis, Minnesota 55416
Relationship: Connected
Organization Type: Corporation
Custodian of Records:
Paul Buchberger11 Scott Street
Suite 100
Wausau, WI 54401
Title: Treasurer
Phone # (715) 841-6107
Treasurer:
Paul Buchberger11 Scott Street
Suite 100
Wausau, Wisconsin 54401
Title: Treasurer
Phone # (715) 841-6107
Designated Agent(s):
Banks or Depositories
Northern Trust BankP.O. Box 92918
Chicago, Illinois 60675
Signed: Paul Buchberger
Date Signed: 12/28/2006
Official Committee URL: n/a
Official Committee FAX: 715-841-6195
FORM TEXT