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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1782395

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1. American Council of Life Insurers Political Action Committee

    101 Constitution Ave., NW
    Suite 700
    Washington, DC 20001
    Email: pac@acli.com

2. Date: 05/10/2024

3. FEC Committee ID #: C00147066 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Council of Life Insurers
101 Constitution Ave, NW
Suite 700
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. T. Scott Dixon
101 Constitution Ave., NW
Suite 700 West
Washington, DC 20001
Title: CFO and Treasurer
Phone # (202) 624-2000

Treasurer:

Mr. T. Scott Dixon
101 Constitution Ave., NW
Suite 700 West
Washington, DC 20001
Title: CFO and Treasurer
Phone # (202) 624-2000

Designated Agent(s):

T. Scott Dixon
101 Constitution Ave, NW
Suite 700
Washington, DC 20001
Title: CFO and Treasurer
Phone # (202) 624-2000

Banks or Depositories

Truist
1445 New York Avenue, NW
Washington, DC 20005

Signed: Mr. T. Scott Dixon
Date Signed: 05/10/2024

FORM TEXT-1

(End FEC FORM 1)

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