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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-268257

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1. Cozen O'Connor Political Action Committee

    1900 Market Street
    Philadelphia, PA 19103
    Fax: 2158648003
    Email: jmurray@cozen.com

2. Date: 01/09/2007

3. FEC Committee ID #: C00312777 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Joan Murray
416 Vineyard Lane
Downingtown, PA 19335
Title: Assistant to COO
Phone # (215) 665-4108

Treasurer:

George Sandone
1900 Market Street
Philadelphia, Pennsylvania 19103
Title: Chief Operating Offi
Phone # (215) 665-2074

Designated Agent(s):

Banks or Depositories

Signed: George Sandone
Date Signed: 01/09/2007
Official Committee URL: www.cozen.com
Official Committee FAX: 2158648003

(End FEC FORM 1)

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