FEC FORM 99
MISCELLANEOUS DOCUMENT
FILING FEC-112688
1. BROOKE HOLDINGS INC AND JACKSON NATIONAL LIFE INSURANCE COMPANY SEPARATE SEGREGATED FUND
1 Corporate WayLANSING, MI 48951
2. Treasurer Info
Treasurer Name: Cynthia Dolan4. FEC Committee ID #: C00254953
VIEW MISCELLANEOUS DOCUMENT
Date Signed: 03/22/2004
(End FEC FORM 99)
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