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FEC Form 1 for ULLICO Inc. Political Action Committee (ULLIPAC)Form 1 for ULLICO Inc. Political Action Committee (ULLIPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-82737

1. ULLICO Inc. Political Action Committee (ULLIPAC)

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

2. Date: 04/17/2003

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

Affiliated Committees/Organizations

Custodian of Records:

Patrick M. Montgomery
111 Massachusetts Avenue N.W.
Washington, DC 20001
Title: Treasurer
Phone # (202) 682-6935

Treasurer:

Mr. Patrick M. Montgomery
111 Massachusetts Avenue N.W.
Washington, DC 20001
Title: Treasurer
Phone # (202) 682-6935

Designated Agent(s):

Banks or Depositories

Signed: Mr. Patrick M. Montgomery
Date Signed: 04/17/2003

(End FEC FORM 1)


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