FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-165048
1. Humana Inc. Political Action Committee
NOTE:Commmittee Name is different than previously reported
1776 Eye Steet NWSuite 890
Washington, DC 20006
2. Date: 02/15/2005
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:
Tim Snyder1776 Eye Steet NW
Washington, DC 20006
Title: Dir. of Fed. Affairs
Phone # (202) 467-5821
Treasurer:
Tim Snyder1776 Eye Street NW
Washington, DC 20006
Title: Treasurer
Phone # (202) 467-5821
Designated Agent(s):
Tim Snyder
1776 Eye Steet NW
Washington, DC 20006
Title: Dir. of Fed. Affairs
Phone # (202) 467-5821
Banks or Depositories
Bank of AmericaCharlotte, North Carolina