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FEC Form 1 for Principal Life Insurance Company Political Action CommitteeForm 1 for Principal Life Insurance Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1318738


1. Principal Life Insurance Company Political Action Committee

    711 High Street
    Government Relations
    Des Moines, IA 503920220
    Email: kempkes.jill@principal.com

2. Date: 03/01/2019

3. FEC Committee ID #: C00128918 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

Principal Life Insurance Company
711 High St.
Des Moines, Iowa 503920002
Affiliated Relationship Code: Connected Organization

Committee ID# C00698043
Principal Life Insurance Company State
711 High Street
Government Relations
Des Moines, Iowa 503920002
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Ms. Jill E. R. Kempkes
711 High Street
711-6C55
Des Moines, IA 503920220
Title: Associate Director -
Phone # (515) 248-3047

Treasurer:

Ms. Jacque S. Mohs
711 High Street
Des Moines, Iowa 503926630
Title: PrinPAC Treasurer
Phone # (515) 247-4514

Designated Agent(s):

Mr. Chris Payne
801 Pennsylvania Avenue, N.W.
Suite 420
Washington, DC 200042615
Title: PrinPAC Assistant Tr
Phone # (202) 292-5933

Mr. Chris Payne
801 Pennsylvania Avenue, N.W.
Suite 420
Washington, DC 200042615
Title: PrinPAC Assistant Tr
Phone # (202) 292-5933

Banks or Depositories

Axos Bank
4350 LaJolla Village Drive
Suite 140
San Diego, California 92122

Signed: Ms. Jacque S. Mohs
Date Signed: 03/08/2019

(End FEC FORM 1)


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