FEC Form 1 for ING America Insurance Holdings Inc. Political Action Committee (ING US PAC)Form 1 for ING America Insurance Holdings Inc. Political Action Committee (ING US PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-29538

1. ING America Insurance Holdings Inc. Political Action Committee (ING US PAC)

NOTE:Commmittee Name is different than previously reported

151 Farmington Avenue
TS31
Hartford, CT 06156

NOTE: Address is different than previously reported

Email: RubinRS@ING-AFS.com

2. Date: 03/13/2002

3. FEC Committee ID #: C00184028 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

ING America Insurance Holdings Inc.
5780 Powers Ferry Road
Atlanta, Georgia 303271390
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Rachel S. Rubin
151 Farmington Avenue
TS31
Hartford, CT 06156
Title: Treasurer

Treasurer:

Rachel S. Rubin
151 Farmington Avenue
TS31
Hartford, Connecticut 06156
Title: Treasurer

Designated Agent(s):

Kevin P. Brown
151 Farmington Avenue
TS31
Hartford, Connecticut 06156
Title: Deputy Treasurer

Banks or Depositories

SunTrust Bank
P.O. Box 4418
Atlanta, Georgia 30302

Webster Bank
777 Northrup Road
Wallingford, Connecticut 06492

Signed: Rachel S. Rubin
Date Signed: 03/13/2002
Official Committee URL: N/A

(End FEC FORM 1)

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