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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-280650

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1. Unity Mutual Life Insurance Company PAC

    P.O. Box 5000
    Syracuse, NY 132505000
    Fax: 3154487001
    Email: efaigle@unity-life.com

2. Date: 03/12/2007

3. FEC Committee ID #: C00331348 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Unity Mutual Life Insurance Company
P.O. Box 5000
Syracuse, New York 132505000
Organization Type: Corporation W/O Capital Stock

Custodian of Records:

Ellen M. Faigle
P.O. Box
5000
Syracuse, NY 132505000
Title: Treasurer
Phone # (315) 448-7220

Treasurer:

Ellen M. Faigle
P.O. Box
5000
Syracuse, New York 132505000
Title: Treasurer
Phone # (315) 448-7220

Designated Agent(s):

Banks or Depositories

Chase Manhattan Bank
One Lincoln Center
Syracuse, New York 13202

Signed: Mrs. Joyce Kopcik
Date Signed: 03/12/2007
Official Committee URL: www.unity-life.com
Official Committee FAX: 3154487001

(End FEC FORM 1)

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