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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-799837

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

    1050 K Street, NW
    Suite 400
    Washington, DC 20001

    NOTE: Address is different than previously reported

    Email: maria.berthoud@faegrebd.com;pamela.propst@faegrebd.com

    NOTE: Email address is different than previously reported

2. Date: 03/15/2006

3. FEC Committee ID #: C00417634 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Association of Professional Surplus Lines Offices, Ltd. (NAPSLO)
200 N E 54 St.
Suite 200
Kansas City, Missouri 64118
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Pamela Propst
1050 K St NW
Ste 400
Washington, DC 20001
Title: Administrator
Phone # (202) 312-7447

Treasurer:

Brady Kelley
200 NE 54th St.
Ste. 200
Kansas City, Missouri 64118
Title: Treasurer
Phone # (816) 741-3910

Designated Agent(s):

Ms Maria L. Berthoud
1050 K Street, NW
Suite 400
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 312-7413

Banks or Depositories

PNC
620 Liberty Avenue
Pittsburgh, Pennsylvania 15222

Signed: Brady Kelley
Date Signed: 07/19/2012
Official Committee URL: None

(End FEC FORM 1)

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