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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-95489

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1. KEMPER INSURANCE CAMPAIGN FUND

    1 Kemper Drive
    13SE0513
    Long Grove, IL 60049

    NOTE: Address is different than previously reported

    Email: rjilek@kemperinsurance.com

2. Date: 08/18/2003

3. FEC Committee ID #: C00009035 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Raymond Jilek
1 Kemper Drive
Long Grove, Illinois 60049
Phone # (847) 320-3595

Designated Agent(s):

Banks or Depositories

Signed: Raymond Jilek
Date Signed: 09/17/2003

(End FEC FORM 1)

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