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FEC Form 1 for Pacific Life Insurance Company Political Action CommitteeForm 1 for Pacific Life Insurance Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-50531


1. Pacific Life Insurance Company Political Action Committee

    700 Newport Center Drive
    Newport Beach, CA 92660
    Email: CSmitski@PacificLife.com

2. Date: 09/18/2002

3. FEC Committee ID #: C00068528 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Pacific Life Insurance Company
700 Newport Center Drive
Newport Beach, California 92660
Relationship: Connected Organizations
Organization Type: Corporation

Custodian of Records:

Connie Smitski
700 Newport Center Drive
Newport Beach, CA 92660
Title: Exec Asst
Phone # (949) 219-3280

Treasurer:

Robert Haskell
700 Newport Center Drive
Newport Beach, California 92660
Title: Treasurer
Phone # (949) 219-3280

Designated Agent(s):

MICHAEL MC LAUGHLIN
700 NEWPORT CENTER DRIVE
NEWPORT BEACH, California 92660
Title: Asst. Treasurer
Phone # (949) 219-3328

PETER PASTRE
700 NEWPORT CENTER DRIVE
NEWPORT BEACH, California 92660
Title: AVP GOVT RELATIONS
Phone # (949) 219-3221

Banks or Depositories

Bank of America
2049 Century Park East
Los Angeles, California 90067

Signed: Robert G. Haskell
Date Signed: 09/18/2002

(End FEC FORM 1)


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