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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-299547

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1. Cozen O'Connor Political Action Committee

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

2. Date: 08/06/2007

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

Affiliated Committees/Organizations

Cozen O'Connor
1900 Market Street
Philadelphia, Pennsylvania 19103
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

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

Treasurer:

David W. Ellman
1206 Stongs Lane
Ambler, Pennsylvania 19002
Title: COO
Phone # (215) 665-4655

Designated Agent(s):

Banks or Depositories

Mellon Bank
1735 Market Street
Philadelphia, Pennsylvania 19103

Signed: David W. Ellman
Date Signed: 08/06/2007
Official Committee FAX: 2158648003

(End FEC FORM 1)

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