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FEC Form 1 for GRANGE MUTUAL HOLDING CO. POLITICAL ACTION COMMITTEEForm 1 for GRANGE MUTUAL HOLDING CO. POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1551216

1. GRANGE MUTUAL HOLDING CO. POLITICAL ACTION COMMITTEE

    NOTE:Commmittee Name is different than previously reported

    671 SOUTH HIGH STREET
    PO BOX 1218
    COLUMBUS, OH 43216
    Email: MassieW@grangeinsurance.com;swilliams@bricker.com

    NOTE: Email address is different than previously reported

2. Date: 12/09/2021

3. FEC Committee ID #: C00302695 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

GRANGE MUTUAL HOLDING CO.
671 SOUTH HIGH ST.
PO BOX 1218
COLUMBUS, Ohio 43206
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Wendy Massie
671 SOUTH HIGH STREET
PO BOX 1218
COLUMBUS, OH 43206
Title: Corporate Paralegal
Phone # (614) 445-2607

Treasurer:

Wendy Massie
671 SOUTH HIGH STREET
PO BOX 1218
COLUMBUS, Ohio 43206
Title: Corporate Paralegal
Phone # (614) 445-2607

Designated Agent(s):

Banks or Depositories

PNC Bank
One Financial Parkway
Kalamazoo, Michigan 49009

Signed: Wendy Massie
Date Signed: 12/09/2021
Official Committee URL: https://www.grangeinsurance.com/

(End FEC FORM 1)


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