FEC Form 1 for Property Casualty Insurers Association of America Political Action Committee (PCIPAC)Form 1 for Property Casualty Insurers Association of America Political Action Committee (PCIPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-112969

1. Property Casualty Insurers Association of America Political Action Committee (PCIPAC)

2600 South River Road
Des Plaines, IL 600183286
Fax: 847-297-5064

2. Date: 03/17/2004

3. FEC Committee ID #: C00066472 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Property Casualty Insurers Association of America
2600 South River Road
Des Plaines, Illinois 600183286
Relationship: Connected Organization
Organization Type: Trade Association

Custodian of Records:

Linda Dugas
2600 South River Road
Des Plaines, IL 600183286
Title: Senior Accountant
Phone # (847) 297-7800

Treasurer:

June Holmes
2600 South River Road
Des Plaines, Illinois 600183286
Title: Senior Vice Presiden
Phone # (847) 297-7800

Designated Agent(s):

Banks or Depositories

Signed: June Holmes
Date Signed: 03/26/2004
Official Committee URL: pciaa.net
Official Committee FAX: 847-297-5064

FORM TEXT

(End FEC FORM 1)

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