FEC Form 1 for National Association of Professional Surplus Lines Offices (NAPSLO) PACForm 1 for National Association of Professional Surplus Lines Offices (NAPSLO) PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-206497

1. National Association of Professional Surplus Lines Offices (NAPSLO) PAC

NOTE:Commmittee Name is different than previously reported

805 15th Street NW
Suite 700
Washington, DC 20005
Fax: 2023127401
Email: maria.berthoud@bakerd.com

2. Date: 03/15/2006

3. FEC Committee ID #: C00417634 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Association of Professional Surplus Lines Offices Ltd. (NAPSLO)
405 North Crosby Avenue
Suite 201
Kansas City, Missouri 64151
Relationship: Sponsoring Org'n.
Organization Type: Trade Association

Custodian of Records:

Ms Annette Pataki
805 15th Street NW
Suite 700
Washington, DC 20005
Title: Administrator
Phone # (202) 312-7465

Treasurer:

Mr. Richard Bouhan
6405 North Cosby Avenue
Suite 201
Kansas City, Missouri 64151
Title: Treasurer
Phone # (816) 741-5409

Designated Agent(s):

Ms Maria L. Berthoud
805 15th Street NW
Suite 700
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 312-7413

Banks or Depositories

PNC
620 Liberty Avenue
Pittsburgh, Pennsylvania 15222

Signed: Mr. Richard Bouhan
Date Signed: 03/15/2006
Official Committee URL: None
Official Committee FAX: 2023127401

(End FEC FORM 1)

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