FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-850280
1. UNIVERSAL AMERICAN CORP. PAC
44 South BroadwaySuite 1200
White Plains, NY 106014411
NOTE: Address is different than previously reported
Email: uacpac@universalamerican.com2. Date: 01/29/2013
3. FEC Committee ID #: C00433029 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Universal American Corp.44 South Broadway
Suite 1200
White Plains, New York 106014411
Affiliated Relationship Code: Connected Organization
Custodian of Records:
James P. McAleer44 South Broadway
Suite 1200
White Plains, NY 106014411
Title: Treasurer
Phone # (914) 305-9225
Treasurer:
James P. McAleer44 South Broadway
Suite 1200
White Plains, New York 106014411
Title: Treasurer
Phone # (914) 305-9225
Designated Agent(s):
Gary Jacobs7730 NW 120th Drive
Parkland, Florida 33076
Title: Assistant Treasurer
Phone # (954) 888-4910
Banks or Depositories
Bank of America600 Peachtree Street
9th Floor
Atlanta, Georgia 303082265