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FEC Form 1 for Independent Insurance Agents & Brokers of America, Inc. Political Action Committee (InsurPAC)Form 1 for Independent Insurance Agents & Brokers of America, Inc. Political Action Committee (InsurPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-929467


1. Independent Insurance Agents & Brokers of America, Inc. Political Action Committee (InsurPAC)

    20 F Street, NW Suite 610
    Washington, DC 20001

    NOTE: Address is different than previously reported

    Email: nathan.riedel@iiaba.net

2. Date: 06/01/2014

3. FEC Committee ID #: C00022343 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

Independent Insurance Agents & Brokers of America, Inc.
127 South Peyton Street
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nathan M. Riedel
20 F Street, NW Suite 610
Washington, DC 20001
Title: Vice President
Phone # (202) 863-7000

Treasurer:

Nathan M. Riedel
20 F Street, NW Suite 610
Washington, DC 20001
Title: Vice President
Phone # (202) 863-7000

Designated Agent(s):

Banks or Depositories

InsurBanc
10 Executive Drive
Farmington, Connecticut 06032

Signed: Nathan M. Riedel
Date Signed: 06/04/2014

FORM TEXT

(End FEC FORM 1)


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