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FEC Form 1 for Ameritas Life Insurance Corp. Political Action CommitteeForm 1 for Ameritas Life Insurance Corp. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-726605


1. Ameritas Life Insurance Corp. Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    5900 O Street
    Lincoln, NE 68510
    Email: dmeyer@ameritas.com

    NOTE: Email address is different than previously reported

2. Date: 04/27/2011

3. FEC Committee ID #: C00187138 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Ameritas Life Insurance Corp.
5900 O Street
Lincoln, Nebraska 68510
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Diane E. Meyer
18311 Tyler Street
Omaha, NE 68135
Title: Treasurer
Phone # (402) 467-7730

Treasurer:

Ms. Diane E. Meyer
18311 Tyler Street
Omaha, Nebraska 68135
Title: Treasurer
Phone # (402) 467-7730

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
6600 O Street
Lincoln, Nebraska 68510

Signed: Ms. Diane E. Meyer
Date Signed: 04/27/2011

FORM TEXT

(End FEC FORM 1)


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