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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-105626

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1. CIGNA Corporation Political Action Committee

    2001 Pennsylvania Ave. NW
    Suite 350
    Washington, DC 20006

    NOTE: Address is different than previously reported

    Fax: 202-296-2521
    Email: cignapac@cigna.com

2. Date: 01/29/2004

3. FEC Committee ID #: C00085316 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

CIGNA Corporation
2001 Pennsylvania Ave. NW
Suite 350
Washington, DC 20006
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Kristin Julason
2001 Pennsylvania Ave. NW
Suite 350
Washington, DC 20006
Title: Assistant Vice Pres.
Phone # (202) 775-2685

Treasurer:

Mordecai Schwartz
One Liberty Place-OL56C
1650 Market Street
Philadelphia, Pennsylvania 19192
Title: Treasurer
Phone # (215) 761-6222

Designated Agent(s):

David Porcello
CIGNA Corporation
900 Cottage Grove Rd. - S258
Hartford, Connecticut 96152
Title: Assistant Treasurer
Phone # (860) 226-4602

Banks or Depositories

PNC Bank
P.O. Box 7468
Philadelphia, Pennsylvania 19101

Signed: Mordecai Schwartz
Date Signed: 01/29/2004
Official Committee FAX: 202-296-2521

(End FEC FORM 1)

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