FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-260494
1. COLPAC - The Political Action Committee of Colonial Life & Accident Insurance Company
1200 Colonial Life BoulevardColumbia, SC 29210
Fax: 8037987564
Email: jbwinston@coloniallife.com
2. Date: 10/17/2006
3. FEC Committee ID #: C00111898 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Committee ID# C00177436UPPAC - UnumProvident Political Action Committee
2211 Congress Street
Portland, Maine 04122
Relationship: Affiliated
Organization Type: Membership Organization
Colonial Life & Accident Ins. Company
PO Box 1365
Columbia, South Carolina 29202
Relationship: Connected Org.
Organization Type: Corporation
Custodian of Records:
Jacqueline B. Winston1200 Colonial Life Boulevard
Columbia, SC 29210
Title: Treasurer
Phone # (803) 798-7000
Treasurer:
Jacqueline B. Winston1200 Colonial Life Boulevard
Columbia, South Carolina 29210
Title: Treasurer
Phone # (803) 798-7000
Designated Agent(s):
John J. Garrison1200 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 America330 Bush River Road
Columbia, South Carolina 29210