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FEC Form 1 for UNIVERSAL AMERICAN CORP. PACForm 1 for UNIVERSAL AMERICAN CORP. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-850280


1. UNIVERSAL AMERICAN CORP. PAC

    44 South Broadway
    Suite 1200
    White Plains, NY 106014411

    NOTE: Address is different than previously reported

    Email: uacpac@universalamerican.com

2. Date: 01/29/2013

3. FEC Committee ID #: C00433029 This committee is a separate segregated fund. Its connected organization is a Corporation
     In 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. McAleer
44 South Broadway
Suite 1200
White Plains, NY 106014411
Title: Treasurer
Phone # (914) 305-9225

Treasurer:

James P. McAleer
44 South Broadway
Suite 1200
White Plains, New York 106014411
Title: Treasurer
Phone # (914) 305-9225

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: 01/29/2013

FORM TEXT

(End FEC FORM 1)


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