FEC Form 1 for The Equitable Life Assurance Society of the US Political Action Committee (EQUI-PAC)Form 1 for The Equitable Life Assurance Society of the US Political Action Committee (EQUI-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-133191

1. The Equitable Life Assurance Society of the US Political Action Committee (EQUI-PAC)

1290 Avenue of the Americas
4th Floor
New York, NY 10104
Fax: 0-
Email: paul.flora@axa-financial.com

2. Date: 08/31/2004

3. FEC Committee ID #: C00161901 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

MONY Life Insurance Company Political Action Committee
1290 Avenue of the Americas
New York, New York 10104
Relationship: Affiliated PAC

Custodian of Records:

Phone # 0

Treasurer:

Paul J. Flora
1290 Avenue of the Americas
4th Floor
New York, New York 10104
Title: SVP and Auditor
Phone # (212) 314-5267

Designated Agent(s):

Banks or Depositories

Signed: Paul J. Flora
Date Signed: 08/31/2004
Official Committee FAX: 0-

(End FEC FORM 1)

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