FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-410040
1. Molina Healthcare, Inc. PAC
200 OceangateSuite 100
Long Beach, CA 90802
Email: margie.finkelnburg@molinahealthcare.com
2. Date: 03/27/2009
3. FEC Committee ID #: C00430256 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Molina Healthcare Inc200 Oceangate Blvd
Suite 100
Long Beach, California 90802
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Margie Finkelnburg1100 New York Avenue, NW
Suite 1080 West
Washington, DC 20005
Title: Director, Grassroots
Phone # (202) 639-9868
Treasurer:
Mr. Joseph WhiteOne Golden Shore
Long Beach, California 90802
Title: Chief Accounting Off
Phone # (888) 562-5442
Designated Agent(s):
Margie Finkelnburg1100 new York Avenue, NW
Suite 1080 West
Washington, DC 20005
Title: Director, Grassroots
Phone # (202) 639-9868
Banks or Depositories
EastWestBank23737 Hawthorne Blvd
Torrance, California 90505