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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1055504

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1. Zurich Holding Company Of America Committee For Good Government (Z-PAC)

    1201 F Street NW
    Washington, DC 20004
    Email: gregg.sheiowitz@zurichna.com,fecinfo@pass1.com

    NOTE: Email address is different than previously reported

2. Date: 03/16/2016

3. FEC Committee ID #: C00235036 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Zurich Holding Company Of America
1201 F Street NW
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Committee ID# C00135681
Farmers Group Inc., Farmers Insurance
2350 Kerner Blvd., Suite 250
San Rafael, California 94901
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Allison Greenwald
1201 F St. NW, Suite 950
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 585-3153

Treasurer:

Gregg Sheiowitz
1201 F St. NW, Suite 950
Washington, DC 20004
Title: Treasurer
Phone # (202) 585-3152

Designated Agent(s):

Allison Greenwald
1201 F St. NW, Suite 950
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 585-3153

Banks or Depositories

Wells Fargo
NC 8502 P.O. Box 563966
Charlotte, North Carolina 28262

Signed: Gregg Sheiowitz
Date Signed: 03/16/2016

FORM TEXT-1

(End FEC FORM 1)

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