FEC Form 1 for CIGNA Corporation Political Action CommitteeForm 1 for CIGNA Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-746178

1. CIGNA Corporation Political Action Committee

174 Waterfront Street
Suite 500
National Harbor, MD 20745
Email: pacservices@ddcadvocacy.com

NOTE: Email address is different than previously reported

2. Date: 09/26/2011

3. FEC Committee ID #: C00085316 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

CIGNA Corporation
601 Pennsylvania Ave NW
South Building, Suite 500
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Olivia Parker
601 Pennsylvania Avenue, NW
South Building, Suite 500
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 861-6383

Treasurer:

G. William Hoagland
601 Pennsylvania Ave NW
South Building, Suite 500
Washington, DC 20004
Title: Treasurer
Phone # (202) 778-8451

Designated Agent(s):

Peter Sherman
174 Waterfront Street
Suite 500
National Harbor, DC 20745
Title: Assistant Treasurer
Phone # (301) 686-8112

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-746178

1. CIGNA Corporation Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 09/26/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: G. William Hoagland
Date Signed: 09/26/2011

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-746178

1. CIGNA Corporation Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 09/26/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: G. William Hoagland Date Signed: 09/26/2011

(End FEC FORM 1)

Signed: G. William Hoagland
Date Signed: 09/26/2011