FEC Form 1 for COLPAC - The Political Action Committee of Colonial Life & Accident Insurance CompanyForm 1 for COLPAC - The Political Action Committee of Colonial Life & Accident Insurance Company

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-245141

1. COLPAC - The Political Action Committee of Colonial Life & Accident Insurance Company

1200 Colonial Life Boulevard
Columbia, SC 29210
Fax: 8037987564
Email: jbwinston@coloniallife.com

2. Date: 10/17/2006

3. FEC Committee ID #: C00111898 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00177436
UPPAC - UnumProvident Political Action Committee
2211 Congress Street
Portland, Maine 04122
Relationship: Connected Org.
Organization Type: Corporation

Custodian of Records:

Jacqueline B. Winston
1200 Colonial Life Boulevard
Columbia, SC 29210
Title: Treasurer
Phone # (803) 798-7000

Treasurer:

Jacqueline B. Winston
1200 Colonial Life Boulevard
Columbia, South Carolina 29210
Title: Treasurer
Phone # (803) 798-7000

Designated Agent(s):

John J. Garrison
1200 Colonial Life Boulevard
Columbia, South Carolina 29210
Title: Assistant Treasurer
Phone # (803) 798-7000

Randall Horn
1200 Colonial Life Boulevard
Columbia, South Carolina 29210
Title: Chairman
Phone # (803) 798-7000

Banks or Depositories

Bank of America
330 Bush River Road
Columbia, South Carolina 29210

Signed: Jacqueline B. Winston
Date Signed: 10/17/2006
Official Committee FAX: 8037987564

(End FEC FORM 1)

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