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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-312149

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1. Universal American Corp. PAC

    NOTE:Commmittee Name is different than previously reported

    6 INTERNATIONAL DRIVE SUITE 190
    RYE BROOK, NY 10573
    Fax: 9149340700
    Email: uacpac@universalamerican.com

2. Date: 12/03/2007

3. FEC Committee ID #: C00433029 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Universal American Corp.
6 International Drive
Suite 190
Rye Brook, New York 10573
Relationship: Connected Org.
Organization Type: Corporation

Custodian of Records:

James P. McAleer
Universal American
6 International Drive Suite 190
Rye Brook, NY 10573
Title: Treasurer
Phone # (914) 934-5200

Treasurer:

James P. McAleer
Universal American
6 International Drive Suite 190
Rye Brook, New York 10573
Title: Treasurer
Phone # (914) 934-5200

Designated Agent(s):

Gary Jacobs
7730 NW 120th Drive
Parkland, Florida 33076
Title: Assistant Treasurer
Phone # (954) 888-4910

Banks or Depositories

Bank of America
600 Peachtree Street
9th Floor
Atlanta, Georgia 303082265

Signed: James P. McAleer
Date Signed: 12/03/2007
Official Committee FAX: 9149340700

(End FEC FORM 1)

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