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FEC Form 1 for Allstate Insurance Company PACForm 1 for Allstate Insurance Company PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1098621


1. Allstate Insurance Company PAC

    2775 Sanders Road Suite A2W
    Northbrook, IL 60062
    Email: MOLSON3@allstate.com

2. Date: 09/12/2016

3. FEC Committee ID #: C00040253 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

Allstate Insurance Company
2775 Sanders Road Suite A2W
Northbrook, Illinois 60062
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jess Merten
3075 Sanders Road Suite H2E
Northbrook, IL 60062
Title: Custodian of Records
Phone # (847) 402-2050

Treasurer:

Jess Merten
3075 Sanders Road Suite H2E
Northbrook, Illinois 60062
Title: Treasurer
Phone # (847) 402-2050

Designated Agent(s):

Mario Rizzo
2775 Sanders Road Suite B1E
Northbrook, Illinois 60062
Title: Assistant Treasurer
Phone # (847) 402-7621

Banks or Depositories

Fifth Third Bank
150 S. York Street
Elmurst, Illinois 60126

Signed: Jess Merten
Date Signed: 09/12/2016

FORM TEXT-1

(End FEC FORM 1)


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