FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-119935
1. New York Life Insurance Company Political Action Committee
51 Madison Ave.Room 117M
New York, NY 10010
NOTE: Address is different than previously reported
Fax: 212-576-44732. Date: 05/17/2004
3. FEC Committee ID #: C00158881 This committee is a Separate Segregated FundAffiliated Committees/Organizations
New York Life Insurance Co.51 Madison Ave.
New York, New York 10010
Relationship: Corporate-Sponsor
Organization Type: Corporation
Custodian of Records:
Jonathan Paone51 Madison Avenue
Room 117M
New York, NY 10010
Title: Treasurer
Phone # (212) 576-7842
Treasurer:
Jonathan Paone51 Madison Ave.
Room 117M
New York, New York 10010
Title: Treasurer
Phone # (212) 576-7842
Designated Agent(s):
Carla Rutligliano51 Madison Avenue
Room 117M
New York, New York 10010
Title: Assistant Treasurer
Phone # (212) 576-4503
Banks or Depositories
JPMorgan Chase Bank386 Park Avenue South
New York, New York 10016