FEC Form 1 for Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance CompanyForm 1 for Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1349771

1. Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

One Park Circle
P.O. Box 5001
Westfield Center, OH 442515001
Email: jaclyntaylor@westfieldgrp.com;lissetterivera@westfieldgrp.com

2. Date: 08/26/2019

3. FEC Committee ID #: C00376863 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Ohio Farmers Insurance Company
One Park Circle
PO Box 5001
Westfield Center, Ohio 44251
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Jaclyn S. Taylor
852 Tamwood Drive
Canal Fulton, Ohio 44614
Title: Treasurer
Phone # (330) 887-8401

Designated Agent(s):

Lissette Rivera
1595 Lakeland Avenue
Lakewood, Ohio 44107
Title: Assistant Treasurer
Phone # (330) 887-0450

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1349771

1. Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

2. Date: 08/26/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lissette Rivera
Date Signed: 08/26/2019

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1349771

1. Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

2. Date: 08/26/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lissette Rivera Date Signed: 08/26/2019

(End FEC FORM 1)

Signed: Lissette Rivera
Date Signed: 08/26/2019