FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-409999
1. National Association of Professional Surplus Lines Offices (NAPSLO) PAC
NOTE:Commmittee Name is different than previously reported
805 15th Street, NWSuite 700
Washington, DC 20005
Email: maria.berthoud@bakerd.com
2. Date: 03/15/2006
3. FEC Committee ID #: C00417634 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
National Association of Professional Surplus Lines Offices, Ltd. (NAPSLO)405 North Crosby Avenue
Suite 201
Kansas City, Missouri 64151
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Ms Annette Pataki805 15th Street, NW
Suite 700
Washington, DC 20005
Title: Administrator
Phone # (202) 312-7465
Treasurer:
Mr. Richard Bouhan6405 North Cosby Avenue
Suite 201
Kansas City, Missouri 64151
Title: Treasurer
Phone # (816) 741-5409
Designated Agent(s):
Ms Maria L. Berthoud805 15th Street, NW
Suite 700
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 312-7413
Banks or Depositories
PNC620 Liberty Avenue
Pittsburgh, Pennsylvania 15222