FEC Form 1 for Rain and Hail Insurance Society Political Action CommitteeForm 1 for Rain and Hail Insurance Society Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1041599

1. Rain and Hail Insurance Society Political Action Committee

9200 Northpark Drive
Suite 300
Johnston, IA 50131
Email: tim.otten@rainhail.com

2. Date: 01/22/2016

3. FEC Committee ID #: C00279505 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Rain and Hail Insurance Society
9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Affiliated Relationship Code: Connected Organization

Committee ID# C00348938
Chubb-ACE Group Holdings, Inc. Politic
436 Walnut Street
WAO4P
Philadelphia, Pennsylvania 19106
Affiliated Relationship Code: Affiliated Committee

Chubb-ACE Group Holdings Inc. Legacy P
15 Mountain View Road
Warren, New Jersey 07059
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Timothy G. Otten
9200 Northpark Drive
Suite 300
Johnston, IA 50131
Title: Treasurer
Phone # (515) 559-1000

Treasurer:

Timothy G. Otten
9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Title: Treasurer
Phone # (515) 559-1000

Designated Agent(s):

William Ufer
3120 Highwoods Blvd
Suite 202
Raleigh, North Carolina 27604
Title: Assistant Treasurer
Phone # (919) 790-1537

Banks or Depositories

West Bank
PO Box 65020
West Des Moines, Iowa 502650020

Signed: Timothy G. Otten
Date Signed: 01/22/2016

(End FEC FORM 1)

Generated Fri Jun 28 01:47:22 2024