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FEC Form 1 for Health Alliance Plan PACForm 1 for Health Alliance Plan PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-267111


1. Health Alliance Plan PAC

    2850 West Grand Boulevard
    Detroit, MI 48202
    Fax: 2483717272
    Email: Holly_J_Morris@Comerica.com

2. Date: 01/04/2007

3. FEC Committee ID #: C00410670 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

HEALTH ALLIANCE PLAN
2850 WEST GRAND BOULEVARD
DETROIT, Michigan 48202
Relationship: CONNECTED
Organization Type: Corporation

Custodian of Records:

James Hoeberling
Comerica Bank PAC Services
P.O. Box 75000
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-5562

Treasurer:

James W. Hoeberling
P.O. Box 75000
MC 2250
Detroit, Michigan 482752250
Title: Treasurer
Phone # (248) 371-5562

Designated Agent(s):

Banks or Depositories

COMERICA BANK
P.O. BOX 75000
MC 2250
DETROIT, Michigan 482752250

Signed: James W Hoeberling
Date Signed: 01/04/2007
Official Committee FAX: 2483717272

(End FEC FORM 1)


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