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FEC Form 1 for ALLIANZ OF AMERICA CORPORATION/FIREMAN'S FUND POLITICAL ACTION COMMITTEEForm 1 for ALLIANZ OF AMERICA CORPORATION/FIREMAN'S FUND POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-352340


1. ALLIANZ OF AMERICA CORPORATION/FIREMAN'S FUND POLITICAL ACTION COMMITTEE

    2350 KERNER BLVD., SUITE 250
    SAN RAFAEL, CA 94901

    NOTE: Address is different than previously reported

    Email: sscally@nmgovlaw.com

2. Date: 07/16/2008

3. FEC Committee ID #: C00095109 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

ALLIANZ OF AMERICA CORPORATION
777 SAN MARIN DRIVE
NOVATO, California 94998
Affiliated Relationship Code: Connected Organization

Custodian of Records:

STEVEN S. LUCAS
2350 KERNER BLVD., SUITE 250
SAN RAFAEL, CA 94901
Title: Custodian of Records
Phone # (415) 389-6800

Treasurer:

RICHARD A. HAYES
777 SAN MARIN DRIVE, A 16
NOVATO, California 94998
Title: Treasurer
Phone # (415) 899-3176

Designated Agent(s):

STEVEN S. LUCAS
2350 KERNER BLVD., SUITE 250
SAN RAFAEL, California 94901
Title: Assistant Treasurer
Phone # (415) 389-6800

Banks or Depositories

BANK OF MARIN
50 MADERA BLVD.
CORTE MADERA, California 94925

Signed: STEVEN S. LUCAS
Date Signed: 07/16/2008

(End FEC FORM 1)


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