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FEC Form 1 for NEW Asurion Corp. Employees Federal Political Action CommitteeForm 1 for NEW Asurion Corp. Employees Federal Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-834733


1. NEW Asurion Corp. Employees Federal Political Action Committee

    648 Grassmere Park, Suite 300
    Nashville, TN 37211
    Email: paul.fassbender@asurion.com

    NOTE: Email address is different than previously reported

2. Date: 11/27/2012

3. FEC Committee ID #: C00450916 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Asurion Corporation
648 Grassmere Park
Suite 300
Nashville, Tennessee 37211
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mike Ain
648 Grassmere Park, Suite 300
Nashville, TN 37211
Title: Senior Director
Phone # (615) 837-7265

Treasurer:

Paul Fassbender
648 Grassmere Park
Suite 300
Nashville, Tennessee 37211
Title: Director and Counsel
Phone # (615) 445-1147

Designated Agent(s):

Banks or Depositories

Well Fargo Bank, N.A.
2000 L Street, NW
Washington, DC 20036

Signed: Paul Fassbender
Date Signed: 11/27/2012

(End FEC FORM 1)


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