FEC Form 1 for CONSECO INC CONCERNED CITIZENS POLITICAL ACTION COMMITTEE (PAC)Form 1 for CONSECO INC CONCERNED CITIZENS POLITICAL ACTION COMMITTEE (PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-256913

1. CONSECO INC CONCERNED CITIZENS POLITICAL ACTION COMMITTEE (PAC)

11825 NORTH PENNSYLVANIA
CARMEL, IN 46032

2. Date: 11/03/2006

3. FEC Committee ID #: C00303503 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought:
State is in District:

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

WILLIAM D FRITTS, Jr.
535 NORTH COLLEGE DRIVE
CARMEL, Indiana 46032
Title: EVP
Phone # (317) 817-6682

Designated Agent(s):

Banks or Depositories

Signed: WILLIAM D FRITTS, Jr.
Date Signed: 11/03/2006

(End FEC FORM 1)

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