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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1134738

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1. Erie Indemnity Company PAC - Federal

    100 Erie Insurance Place
    Erie, PA 16530
    Email: Gary.Veshecco@erieinsurance.com

2. Date: 12/12/2016

3. FEC Committee ID #: C00153577 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Erie Indemnity Company
100 Erie Insurance Place
Erie, Pennsylvania 16530
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Gary D Veshecco
100 Erie Insurance Place
Erie, Pennsylvania 16530
Title: Treasurer
Phone # (814) 870-2159

Designated Agent(s):

Kimberly McWilliams
100 Erie Insurance Place
Erie, Pennsylvania 16530
Title: Assistant Treasurer
Phone # (814) 870-7266

Banks or Depositories

PNC Bank
9th & State Streets
Erie, Pennsylvania 16533

Signed: Gary D Veshecco
Date Signed: 12/12/2016
Official Committee URL: None

FORM TEXT-1

(End FEC FORM 1)

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