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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-767321

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1. UnitedHealth Group Incorporated PAC (United for Health)

    9900 Bren Road East
    Minnetonka, MN 55343
    Email: david_reid@uhc.com

    NOTE: Email address is different than previously reported

2. Date: 02/22/2012

3. FEC Committee ID #: C00274431 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

UnitedHealth Group
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Connected Organization

UnitedHealth Group Incorporated PAC of
701 Pennsylvania Avenue, NW
Suite 650
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Inc. PAC of Pennsyl
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Incorporated PAC of
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Incorporated PAC of
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Incorporated PAC of
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Incoporated Politic
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Incorporated PAC of
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group Incorporated PAC of
9900 Bren Road East
Minnetonka, Minnesota 55343
Affiliated Relationship Code: Affiliated Committee

UnitedHealthcare PAC (Rhode Island)
475 Kilvert Street
Warwick, Rhode Island 02886
Affiliated Relationship Code: Affiliated Committee

UnitedHealth Group, Inc. Conduit of Wi
701 Pennsylvania Avenue, NW
Suite 650
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee

XLHealth Corporation PAC (XLHealth PAC
351 West Camden Street
Suite 100
Baltimore, Maryland 21201
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

David Reid
701 Pennsylvania Avenue, N.W.
Suite 650
Washington, DC 20004
Title: PAC Manager
Phone # (202) 654-9928

Treasurer:

Susan Sherwood
701 Pennsylvania Avenue, N.W.
Suite 650
Washington, DC 20004
Title: Treasurer
Phone # (202) 654-9928

Designated Agent(s):

Banks or Depositories

Mellon Bank
P.O. Box 329
Pittsburgh, Pennsylvania 15230

Signed: Susan Sherwood
Date Signed: 02/22/2012

FORM TEXT

(End FEC FORM 1)

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