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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-721133

1. Allstate Insurance Company PAC

2775 Sanders Road Suite A5
Northbrook, IL 60062
Email: MOLSON3@allstate.com

2. Date: 04/08/2011

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 A5
Northbrook, Illinois 60062
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Steven C Verney
3075 Sanders Road Suite G2H
Northbrook, IL 60062
Title: Custodian
Phone # (847) 402-3313

Treasurer:

Mario Rizzo
3075 Sanders Road Suite G2H
Northbrook, Illinois 60062
Title: Treasurer
Phone # (847) 402-7621

Designated Agent(s):

Steven C Verney
3075 Sanders Road Suite G2H
Northbrook, Illinois 60062
Title: Assistant Treasurer
Phone # (847) 402-3313

Banks or Depositories

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

Signed: Mario Rizzo
Date Signed: 04/08/2011

FORM TEXT

(End FEC FORM 1)

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