FEC Form 1 for PROFESSIONAL INSURANCE AGENTS POLITICAL ACTION COMMITTEE (PIAPAC)Form 1 for PROFESSIONAL INSURANCE AGENTS POLITICAL ACTION COMMITTEE (PIAPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1232775

1. PROFESSIONAL INSURANCE AGENTS POLITICAL ACTION COMMITTEE (PIAPAC)

419 N LEE ST
ALEXANDRIA, VA 22314

NOTE: Address is different than previously reported

Email: mikebe@pianet.org,piapac@pianet.org

NOTE: Email address is different than previously reported

2. Date: 05/11/2018

3. FEC Committee ID #: C00004994 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

NATIONAL ASSOCIATION OF PROFESSIONAL INSURANCE AGENTS
419 N LEE ST
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

MR. MIKE BECKER
419 N LEE ST
ALEXANDRIA, VA 22314
Title: TREASURER
Phone # (703) 518-1365

Treasurer:

MR. MIKE BECKER
419 N LEE ST
ALEXANDRIA, Virginia 22314
Title: TREASURER
Phone # (703) 518-1365

Designated Agent(s):

LAUREN PACHMAN
419 N LEE ST
ALEXANDRIA, Virginia 22314
Title: ASSISTANT TREASURER
Phone # (703) 518-1344

Banks or Depositories

SUNTRUST BANK
PO BOX 305183
NASHVILLE, Tennessee 37230

Signed: MR. MIKE BECKER
Date Signed: 05/18/2018
Official Committee URL: www.pianet.org/piapac

(End FEC FORM 1)

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