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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-897655

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1. Cigna Corporation Political Action Committee

    601 Pennsylvania Avenue NW
    South Building Suite 835
    Washington, DC 20004

    NOTE: Address is different than previously reported

    Email: Sonia.Herman@Cigna.com;pacservices@ddcadvocacy.com

    NOTE: Email address is different than previously reported

2. Date: 12/17/2013

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
900 Cottage Grove Road, B6LPA
Hartford, Connecticut 06152
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sonia Herman
601 Pennsylvania Avenue NW
South Building Suite 835
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 719-6496

Treasurer:

Kristin Julason Damato
601 Pennsylvania Ave NW
South Building, Suite 835
Washington, DC 20004
Title: PAC Treasurer
Phone # (202) 719-5557

Designated Agent(s):

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

Banks or Depositories

PNC Bank
PO Box 40000
Hartford, Connecticut 06151

Signed: Kristin Julason Damato
Date Signed: 12/17/2013

(End FEC FORM 1)

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