FEC Form 1 for ULLICO INC. POLITICAL ACTION COMMITTEE (ULLIPAC)Form 1 for ULLICO INC. POLITICAL ACTION COMMITTEE (ULLIPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473977

1. ULLICO INC. POLITICAL ACTION COMMITTEE (ULLIPAC)

1625 EYE ST NW
WASHINGTON, DC 20006
Email: ullipac@ullico.com

2. Date: 06/08/2009

3. FEC Committee ID #: C00236760 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

ULLICO INC
1625 EYE ST NW
WASHINGTON, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

ADAM MARK FRIED
308 WILLOW OAKS CIRCLE
PIKESVILLE, MD 21208
Title: ASSISTANT TREASURER
Phone # (202) 962-8975

Treasurer:

EDWARD SMITH
614 KINGS CLOISTER CIRCLE
ALEXANDRIA, Virginia 22302
Title: TREASURER
Phone # (202) 682-6602

Designated Agent(s):

ADAM MARK FRIED
8403 COLESVILLE RD
SILVER SPRING, Maryland 20910
Title: ASSISTANT TREASURER
Phone # (202) 962-8975

EDWARD MCELROY
3001 VEAZEY TER NW
APT 1122
WASHINGTON, DC 20008
Title: CHAIRMAN
Phone # (202) 682-6624

EDWARD SMITH
614 KINGS CLOISTER CIRCLE
ALEXANDRIA, Virginia 22302
Title: TREASURER
Phone # (202) 682-6602

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473977

1. ULLICO INC. POLITICAL ACTION COMMITTEE (ULLIPAC)

2. Date: 06/08/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: ADAM MARK FRIED
Date Signed: 06/08/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473977

1. ULLICO INC. POLITICAL ACTION COMMITTEE (ULLIPAC)

2. Date: 06/08/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: ADAM MARK FRIED Date Signed: 06/08/2009

(End FEC FORM 1)

Signed: ADAM MARK FRIED
Date Signed: 06/08/2009