FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-293400
1. CONSECO INC CONCERNED CITIZENS POLITICAL ACTION COMMITTEE (PAC)
11825 NORTH PENNSYLVANIACARMEL, IN 46032
Email: jaydene_shaikhadeh@conseco.com
2. Date: 07/11/2007
3. FEC Committee ID #: C00303503 This committee is a Separate Segregated FundAffiliated Committees/Organizations
CONSECO11825 N. PENNSYLVANIA STREET
CARMEL, Indiana 46032
Relationship: CONNECTED ORGANIZATI
Organization Type: Corporation
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
BANK ONE7160 W. WASHINGTON STREET
INDIANAPOLIS, Indiana 46231