FEC Form 1 for GRANGE MUTUAL CASUALTY COMPANY PACForm 1 for GRANGE MUTUAL CASUALTY COMPANY PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-908134

1. GRANGE MUTUAL CASUALTY COMPANY PAC

671 SOUTH HIGH STREET
PO BOX 1218
COLUMBUS, OH 43216
Email: EnsignA@Grangeinsurance.com;kreardon@bricker.com

2. Date: 02/18/2014

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

Affiliated Committees/Organizations

Committee ID# C00302695
GRANGE MUTUAL CASUALTY COMPANY PAC
671 SOUTH HIGH STREET
PO BOX 1218
COLUMBUS, Ohio 43216
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Andrea Ensign
671 South High Street
PO Box 1218
Columbus, Ohio 43216
Title: Exec. Legal Assistan
Phone # (614) 445-2607

Designated Agent(s):

Banks or Depositories

PNC Bank
One Financial Parkway
Kalamazoo, Michigan 49009

Signed: Andrea Ensign
Date Signed: 02/18/2014
Official Committee URL: https://www.grangeinsurance.com/

(End FEC FORM 1)

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