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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-854186

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1. Cigna Corporation Political Action Committee

    900 Cottage Grove Road, B6LPA
    Hartford, CT 06152

    NOTE: Address is different than previously reported

    Email: Cathie.Barra@Cigna.com;pacservices@ddcadvocacy.com

    NOTE: Email address is different than previously reported

2. Date: 02/01/2013

3. FEC Committee ID #: C00085316 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

Cigna Corporation
900 Cottage Grove Road, B6LPA
Hartford, Connecticut 06152
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cathie Barra
900 Cottage Grove Road, B6LPA
Hartford, CT 06152
Title: Custodian of Records
Phone # (860) 226-2907

Treasurer:

Katharine L. Wade
900 Cottage Grove Road, B6LPA
Hartford, Connecticut 06152
Title: Treasurer
Phone # (860) 226-8861

Designated Agent(s):

Peter Sherman
174 Waterfront Street
Suite 500
National Harbor, DC 20745
Title: Assistant Treasurer
Phone # (301) 686-8112

Banks or Depositories

PNC Bank
PO Box 40000
Hartford, Connecticut 06151

Signed: Katharine L. Wade
Date Signed: 02/01/2013

(End FEC FORM 1)

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