FEC Form 1 for EHEALTH POLITICAL ACTION COMMITTEE (EHEALTH PAC)Form 1 for EHEALTH POLITICAL ACTION COMMITTEE (EHEALTH PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754306

1. EHEALTH POLITICAL ACTION COMMITTEE (EHEALTH PAC)

1615 L STREET NW SUITE 1100
WASHINGTON, DC 20036
Email: sarceneaux@politicalcompliance.com

2. Date: 12/07/2011

3. FEC Committee ID #: C00459289 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

eHealth Inc.
1615 L Street NW
Suite 1100
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

John Desser
1615 L STREET NW
Suite 1100
Washington, DC 20036
Title: Treasurer
Phone # (202) 626-8573

Treasurer:

John Desser
1615 L STREET NW
Suite 1100
Washington, DC 20036
Title: Treasurer
Phone # (202) 626-8573

Designated Agent(s):

Jay Walter Jennings
2381 Middlefield Road
Palo Alto, California 94301
Title: Assistant Treasurer
Phone # (650) 210-3128

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754306

1. EHEALTH POLITICAL ACTION COMMITTEE (EHEALTH PAC)

2. Date: 12/07/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: John Desser
Date Signed: 11/30/2011

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754306

1. EHEALTH POLITICAL ACTION COMMITTEE (EHEALTH PAC)

2. Date: 12/07/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: John Desser Date Signed: 11/30/2011

(End FEC FORM 1)

Signed: John Desser
Date Signed: 11/30/2011