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FEC Form 1 for American Council of Life Insurers PACForm 1 for American Council of Life Insurers PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-176508


1. American Council of Life Insurers PAC

    101 Constitution Avenue NW
    Suite 700 West
    Washington, DC 200012133
    Fax: 202-624-2319
    Email: pac@acli.com

2. Date: 06/16/2005

3. FEC Committee ID #: C00147066 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Michael J. Hunter
101 Constitution Ave NW
Suite 700 West
Washington, DC 20001
Title: Treasurer
Phone # (202) 624-2000

Treasurer:

Michael J. Hunter
101 Constitution Ave NW
Suite 700 West
Washington, DC 20001
Title: Treasurer
Phone # (202) 624-2000

Designated Agent(s):

Banks or Depositories

Signed: Michael J. Hunter
Date Signed: 06/16/2005
Official Committee URL: www.acli.com
Official Committee FAX: 202-624-2319

(End FEC FORM 1)


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