FEC Form 1 for ING America Insurance Holdings Inc. Political Action Committee(ING US PAC)Form 1 for ING America Insurance Holdings Inc. Political Action Committee(ING US PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-405635

1. ING America Insurance Holdings Inc. Political Action Committee(ING US PAC)

One Orange Way - C1N
Windsor, CT 06095
Fax: 860-580-0273
Email: elizabeth.byrne@us.ing.com

2. Date: 02/25/2009

3. FEC Committee ID #: C00184028 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

ING America Insurance Holdings Inc.
One Orange Way - C1N
Windsor, Connecticut 06095
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Elizabeth Byrne
One Orange Way - C1N
Windsor, CT 06095
Title: Treasurer
Phone # (860) 580-2799

Treasurer:

Elizabeth Byrne
One Orange Way - C1N
Windsor, Connecticut 06095
Title: Treasurer
Phone # (860) 580-2799

Designated Agent(s):

Banks or Depositories

Bank of America N.A.
P.O. Box 25118
Tampa, Florida 33622

Signed: Elizabeth Byrne
Date Signed: 02/25/2009
Official Committee FAX: 860-580-0273

FORM TEXT-1

(End FEC FORM 1)

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