FEC Form 1 for PENN MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEEForm 1 for PENN MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-207367

1. PENN MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE

NOTE:Commmittee Name is different than previously reported

600 Dresher Road
Horsham, PA 19044
Fax: 2159568145
Email: ashe.esther@pennmutual.com

2. Date: 03/20/2006

3. FEC Committee ID #: C00142372 This committee is an Authorized Committee,
and is NOT a Principal Campaign Committee. Candidate:
Party: National
Office Sought:
State is in District:

Affiliated Committees/Organizations

Committee ID# C00142372
PENN MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE
600 Dresher Road
Horsham, Pennsylvania 19044
Relationship: Connected Organizati
Organization Type: Corporation

Custodian of Records:

Mr. Steven M. Herzberg
600 Dresher Road
Horsham, PA 19044
Title: Treasurer
Phone # (215) 956-8391

Treasurer:

Mr. Steven M. Herzberg
600 Dresher Road
Horsham, Pennsylvania 19044
Title: Treasurer
Phone # (215) 956-8391

Designated Agent(s):

Banks or Depositories

Signed: Mr. Steven M. Herzberg
Date Signed: 03/20/2006
Official Committee FAX: 2159568145

(End FEC FORM 1)

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