FEC Form 1 for AZOA SERVICES CORPORATION POLITICAL ACTION COMMITTEE (ALLIANZ OF AMERICA PAC)Form 1 for AZOA SERVICES CORPORATION POLITICAL ACTION COMMITTEE (ALLIANZ OF AMERICA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1160569

1. AZOA SERVICES CORPORATION POLITICAL ACTION COMMITTEE (ALLIANZ OF AMERICA PAC)

1101 CONNECTICUT AVE, NW
SUITE 950
WASHINGTON, DC 20036
Email: linda.biles@azoac.com;andrew.stevens@azoac.com

2. Date: 04/27/2017

3. FEC Committee ID #: C00095109 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

AZOA Services Corporation
1465 North McDowell Blvd
Suite 100
Petaluma, California 94954
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Linda Biles
1101 Connecticut Ave, NW
Suite 950
Washington, DC 20036
Title: Custodian of Records
Phone # (202) 785-3575

Treasurer:

Andrew Stevens
1101 Connecticut Ave, NW
Suite 950
Washington, DC 20036
Title: Treasurer
Phone # (202) 785-5124

Designated Agent(s):

Andrew Mertens
1101 Connecticut Ave NW
Suite 950
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 785-3575

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1160569

1. AZOA SERVICES CORPORATION POLITICAL ACTION COMMITTEE (ALLIANZ OF AMERICA PAC)

2. Date: 04/27/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Andrew Stevens
Date Signed: 04/27/2017

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1160569

1. AZOA SERVICES CORPORATION POLITICAL ACTION COMMITTEE (ALLIANZ OF AMERICA PAC)

2. Date: 04/27/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Andrew Stevens Date Signed: 04/27/2017

(End FEC FORM 1)

Signed: Andrew Stevens
Date Signed: 04/27/2017