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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-438414


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

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

2. Date: 10/29/2009

3. FEC Committee ID #: C00111898 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

Colonial Life & Accident Ins. Company
PO Box 1365
Columbia, South Carolina 29202
Affiliated Relationship Code: Connected Organization

Committee ID# C00177436
UnumPAC - UnumProvident Political Acti
2211 Congress Street
Portland, Maine 04122
Affiliated Relationship Code: Affiliated Committee

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) 213-5192

Randall Horn
1200 Colonial Life Boulevard
Columbia, South Carolina 29210
Title: Chairman
Phone # (803) 213-7467

L. Kennedy Boggs
1200 Colonial Life Boulevard
Columbia, South Carolina 29210
Title: Vice Chairman
Phone # (803) 213-6420

Banks or Depositories

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

Signed: Jacqueline B. Winston
Date Signed: 10/29/2009

(End FEC FORM 1)


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