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FEC Form 1 for Allstate Insurance Company Political Action CommitteeForm 1 for Allstate Insurance Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-135247


1. Allstate Insurance Company Political Action Committee

    2775 Sanders Road
    Suite A5
    Northbrook, IL 60062

    NOTE: Address is different than previously reported

2. Date: 09/17/2004

3. FEC Committee ID #: C00040253 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Allstate Insurance Company
2775 Sanders Road
Suite A5
Northbrook, Illinois 60062
Relationship: Corp. Affiliation
Organization Type: Corporation

Custodian of Records:

James Zils
2775 Sanders Road
Suite A5
Northbrook, IL 60062
Title: Treasurer
Phone # (847) 402-6575

Treasurer:

James Zils
2775 Sanders Road
Suite A5
Northbrook, Illinois 60062
Title: Treasurer
Phone # (847) 402-6575

Designated Agent(s):

Barry Paul
2775 Sanders Road
Suite A5
Northbrook, Illinois 60062
Title: Assistant Treasurer
Phone # (847) 402-6575

Banks or Depositories

Fifth Third Bank
105 S. York Street
Elmhurst, Illinois 60126

The Bank of New York
2430 North Ocean Avenue
Farmingville, New York 11738

Signed: James Zils
Date Signed: 09/17/2004

(End FEC FORM 1)


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