FEC Form 1 for UNIVERSAL MUSIC GROUP POLITICAL ACTION COMMITTEEForm 1 for UNIVERSAL MUSIC GROUP POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-120544

1. UNIVERSAL MUSIC GROUP POLITICAL ACTION COMMITTEE

2220 COLORADO AVENUE
SANTA MONICA, CA 90404
Fax: 8188663363
Email: ALEXIS.TERESZCUK@NBCUNI.COM

2. Date: 05/19/2004

3. FEC Committee ID #: C00392464 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

UNIVERSAL MUSIC GROUP
2220 COLORADO AVENUE
SANTA MONICA, California 90404
Relationship: CONNECTED
Organization Type: Corporation

U.S. FILTER CORPORATION POLITICAL ACTI
40-004 COOK STREET
PALM DESERT, California 92211
Relationship: AFFILIATED

VIVENDI UNIVERSAL S.A.
42 AVENUE DE FRIEDLAND
PARIS FRANCE, ____ 75711
Relationship: PARENT

Custodian of Records:

MICHAEL OSTROFF
2220 COLORADO AVENUE
SANTA MONICA, CA 90404
Title: BOOK KEEPER
Phone # (310) 865-8953

Treasurer:

MICHAEL OSTROFF
2220 COLORADO AVENUE
SANTA MONICA, California 90404
Title: TREASURER
Phone # (310) 865-8953

Designated Agent(s):

Banks or Depositories

BANK OF AMERICA
CORPORATE BANKING SERVIES #1235
CONCORD, California 94520

Signed: MICHAEL OSTROFF
Date Signed: 05/19/2004
Official Committee FAX: 8188663363

(End FEC FORM 1)

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