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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-113893

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1. ULLICO Inc. Political Action Committee (ULLIPAC)

    111 Massachusetts Avenue N.W.
    Washington, DC 20001
    Email: jkennedy@ullico.com

2. Date: 03/26/2004

3. FEC Committee ID #: C00236760 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

James J. Kennedy, Jr.
111 Massachusetts Ave. N.W.
Washington, DC 20001
Title: Treasurer
Phone # (202) 962-8460

Treasurer:

James J. Kennedy, Jr.
111 Massachusetts Ave. N.W.
Washington, DC 20001
Title: Treasurer
Phone # (202) 962-8460

Designated Agent(s):

Theodore Green
111 MASSACUSETTS AVE N.W.
WASHINGTON, DC 20001
Title: ASSISTANT TREASURER
Phone # (202) 962-8466

Banks or Depositories

Signed: James J. Kennedy, Jr.
Date Signed: 04/07/2003

(End FEC FORM 1)

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