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-995360

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

8700 West Bryn Mawr
Suite 1200S
Chicago, IL 606313512
Email: ddc@pciaa.net;compliance@pciaa.net

2. Date: 02/24/2015

3. FEC Committee ID #: C00066472 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Property Casualty Insurers Association of America
8700 West Bryn Mawr
Suite 1200S
Chicago, Illinois 606313512
Affiliated Relationship Code: Connected Organization

Custodian of Records:

June T. Holmes
8700 West Bryn Mawr
Suite 1200S
Chicago, IL 606313512
Title: Custodian of Records
Phone # (847) 297-7800

Treasurer:

June T. Holmes
8700 West Bryn Mawr
Suite 1200S
Chicago, Illinois 606313512
Title: Treasurer
Phone # (847) 297-7800

Designated Agent(s):

Mark Wachholz
8700 West Bryn Mawr
Suite 1200S
Chicago, Illinois 606313512
Title: Assistant Treasurer
Phone # (847) 297-7800

Banks or Depositories

Bank of America
135 S LaSalle Street, 7th Floor
Chicago, Illinois 60603

Signed: June T. Holmes
Date Signed: 02/24/2015
Official Committee URL: http://www.pciaa.net

(End FEC FORM 1)

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