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-315104

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

One Orange Way - C1N
Windsor, CT 06095

NOTE: Address is different than previously reported

Fax: 860-580-4934
Email: Kevin.P.Brown@us.ing.com

2. Date: 01/14/2008

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 30327
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Kevin P. Brown
One Orange Way - C1N
Windsor, CT 06095
Title: Treasurer
Phone # (860) 580-2836

Treasurer:

Kevin P. Brown
One Orange Way - C1N
Windsor, Connecticut 06095
Title: Treasurer
Phone # (860) 580-2836

Designated Agent(s):

Banks or Depositories

Bank of America N.A.
P.O. Box 25118
Tampa, Florida 33622

Signed: Kevin P. Brown
Date Signed: 01/14/2008
Official Committee URL: N/A
Official Committee FAX: 860-580-4934

FORM TEXT-1

(End FEC FORM 1)

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