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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-268630

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1. Jefferson-Pilot Federal Good Government Committee

    100 North Greene Street
    Greensboro, NC 27401
    Fax: 2604550180
    Email: KRIS.ASH@LFG.COM

2. Date: 01/11/2007

3. FEC Committee ID #: C00148528 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Rise Taylor
1300 South Clinton Street
Fort Wayne, IN 46802

Treasurer:

Rise Taylor
1300 South Clinton Street
Fort Wayne, Indiana 46802

Designated Agent(s):

Banks or Depositories

Signed: Rise Taylor
Date Signed: 01/11/2007
Official Committee FAX: 2604550180

(End FEC FORM 1)

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