FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-125812
1. The Equitable Life Assurance Society of the US Political Action Committee (EQUI-PAC)
1290 Avenue of the Americas4th Floor
New York, NY 10104
Fax: 0-
Email: paul.flora@axa-financial.com
2. Date: 07/13/2004
3. FEC Committee ID #: C00161901This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
MONY Life Insurance Company Political Action Committee
1290 Avenue of the Americas
New York, New York 10104
Relationship: affiliated PAC
Custodian of Records:
Phone # 0
Treasurer:
Paul J. Flora
1290 Avenue of the Americas
4th Floor
New York, New York 10104
Title: SVP and Auditor
Phone # (212) 314-5267
Designated Agent(s):
Banks or Depositories
Signed: Paul J. Flora
Date Signed: 07/13/2004
Official Committee FAX: 0-
(End FEC FORM 1)
Date Signed: 07/13/2004
Official Committee FAX: 0-