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FEC Form 1 for New York Life Insurance Company Political Action CommitteeForm 1 for New York Life Insurance Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-119935

1. New York Life Insurance Company Political Action Committee

    51 Madison Ave.
    Room 117M
    New York, NY 10010

    NOTE: Address is different than previously reported

    Fax: 212-576-4473

2. Date: 05/17/2004

3. FEC Committee ID #: C00158881 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

New York Life Insurance Co.
51 Madison Ave.
New York, New York 10010
Relationship: Corporate-Sponsor
Organization Type: Corporation

Custodian of Records:

Jonathan Paone
51 Madison Avenue
Room 117M
New York, NY 10010
Title: Treasurer
Phone # (212) 576-7842

Treasurer:

Jonathan Paone
51 Madison Ave.
Room 117M
New York, New York 10010
Title: Treasurer
Phone # (212) 576-7842

Designated Agent(s):

Carla Rutligliano
51 Madison Avenue
Room 117M
New York, New York 10010
Title: Assistant Treasurer
Phone # (212) 576-4503

Banks or Depositories

JPMorgan Chase Bank
386 Park Avenue South
New York, New York 10016

Signed: Jonathan Paone
Date Signed: 05/10/2004
Official Committee FAX: 212-576-4473

(End FEC FORM 1)


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