FEC Form 1 for Aetna Inc. Political Action CommitteeForm 1 for Aetna Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409474

1. Aetna Inc. Political Action Committee

151 Farmington Ave.
RW4A
Hartford, CT 06156
Email: PreisnerTL@aetna.com

2. Date: 03/25/2009

3. FEC Committee ID #: C00181826 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

Committee ID# C00181826
Aetna Inc.
151 Farmington Avenue
Hartford, Connecticut 06156
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tammy L Preisner
151 Farmington Avenue
RE6A
Hartford, CT 06156
Title: Asst. Treasurer
Phone # (860) 273-5670

Treasurer:

Jonathan M. Topodas
1331 F Street, NW
Suite 450
Washington, DC 20004
Title: Treasurer
Phone # (202) 419-7042

Designated Agent(s):

Tammy L. Preisner
151 Farmington Ave.
RE6A
Hartford, Connecticut 06156
Title: Asst. Treasurer
Phone # (860) 273-5670

Banks or Depositories

Bank of America
2775 Main Street
Hartford, Connecticut 06120

Signed: Mr. Jonathan M. Topodas
Date Signed: 03/25/2009

(End FEC FORM 1)

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