FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-108667
1. Humana Inc. Political Action Committee
1776 Eye Steet NWSuite 890
Washington, DC 20006
2. Date: 02/18/2004
3. FEC Committee ID #: C00271007 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Humana Inc.1776 Eye Steet NW
Suite 890
Washington, DC 20006
Organization Type: Corporation
Custodian of Records:
Mary Rosado1776 Eye Steet NW
Washington, DC 20006
Title: Dir. of Fed. Affairs
Phone # (202) 467-5821
Treasurer:
Mary Rosado1776 Eye Steet NW
Washington, DC 20006
Title: Dir. of Fed. Affairs
Phone # (202) 467-5821
Designated Agent(s):
Mary Rosado
1776 Eye Steet NW
Washington, DC 20006
Title: Dir. of Fed. Affairs
Phone # (202) 467-5821
Banks or Depositories
Bank of AmericaCharlotte, North Carolina