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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-178999

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1. Humana Inc. Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    1776 Eye Steet NW
    Suite 890
    Washington, DC 20006

2. Date: 07/11/2005

3. FEC Committee ID #: C00271007 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Humana Inc.
1776 Eye Steet NW
Suite 890
Washington, DC 20006
Organization Type: Corporation

Custodian of Records:

Edward Kaleta
1776 Eye Steet NW
Washington, DC 20006
Title: Treasurer
Phone # (202) 467-5821

Treasurer:

Edward Kaleta
1776 Eye Street NW
Washington, DC 20006
Title: Treasurer
Phone # (202) 467-5821

Designated Agent(s):

Banks or Depositories

Bank of America
Charlotte, North Carolina

Signed: Edward Kaleta
Date Signed: 07/11/2005

(End FEC FORM 1)

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