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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-765217

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1. HealthTexas Management Company, LLC. Federal PAC

    NOTE:Commmittee Name is different than previously reported

    6243 IH 10 West Suite 480
    San Antonio, TX 78201
    Email: Jeannine.Ruffner@healthtexas.org

2. Date: 02/10/2012

3. FEC Committee ID #: C00505495 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

HealthTexas Management Company, LLC
6243 IH 10 W
Suite 480
San Antonio, Texas 78201
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mrs. Jeannine Baeten Ruffner
21719 Chaucer Hill
San Antonio, TX
Title: Treasurer
Phone # (210) 731-4848

Treasurer:

Mrs. Jeannine Baeten Ruffner
21719 Chaucer Hill
San Antonio, Texas
Title: Treasurer
Phone # (210) 731-4848

Designated Agent(s):

Rowland Reyna
6243 IH 10 W
Suite 480
San Antonio, Texas 78201
Title: Assistant Treasurer
Phone # (210) 731-4824

Banks or Depositories

IBC Centre
130 E Travis
San Antonio, Texas 78205

Signed: Mrs. Jeannine Baeten Ruffner
Date Signed: 02/10/2012

(End FEC FORM 1)

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