FEC Form 1 for ROYAL INDEMNITY COMPANY VOLUNTARY POLITICAL ACTION COMMITTEEForm 1 for ROYAL INDEMNITY COMPANY VOLUNTARY POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-14438

1. ROYAL INDEMNITY COMPANY VOLUNTARY POLITICAL ACTION COMMITTEE

9300 ARROWPOINT BOULEVARD
P.O. BOX 1000
CHARLOTTE, NC 282011000
Email: Jeff_Klein@rsausa.com

2. Date: 05/17/2001

3. FEC Committee ID #: C00164426 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American and Foreign Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Atlantic Indemnity Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Atlantic Security Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Carolina American Insurance Company
One Southpark Circle
Charleston, South Carolina 29407
Relationship: Connected
Organization Type: Corporation

Connecticut Specialty Insurance Compan
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Design Professionals Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

EBI Indemnity Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Employee Benefits Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Financial Structures Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Globe Indemnity Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Grocers Insurance Company
6605 Southeast Lake Rd
Milwauki, Oregon 97222
Relationship: Connected
Organization Type: Corporation

Guaranty National Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Guaranty National Insurance Company of
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Landmark American Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Marine Indemnity Insurance Company of
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Orion Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Peak Property and Casualty Insurance C
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Phoenix Assurance Company of New York
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Royal & SunAlliance Personal Insurance
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

ROYAL INDEMNITY COMPANY
9300 ARROWPOINT BOULEVARD
CHARLOTTE, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Royal Insurance Company of America
1240 E. Diehl Rd Suite 500
PO Box 3144
Naperville, Illinois 60566
Relationship: Connected
Organization Type: Corporation

Royal Lloyd's of Texas
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected

Royal Surplus Lines Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Safeguard Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Security Insurance Company of Hartford
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

The Connecituct Indemnity Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

The Fire and Casualty Insurance Compan
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

The Sea Insurance Company of America
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Unisun Insurance Company
One Southpark Circle
Charleston, South Carolina 29407
Relationship: Connected
Organization Type: Corporation

Viking County Mutual Insurance Company
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected

Viking Insurance Company of Wisconsin
9300 Arrowpoint Blvd
Charlotte, North Carolina 28273
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

MR. JEFFREY KLEIN
9300 ARROWPOINT BLVD MS 1313
PO BOX 1000
CHARLOTTE, NC 282738135
Title: Treasurer
Phone # (704) 522-3141

Treasurer:

MR. JEFFREY KLEIN
9300 ARROWPOINT BLVD MS 1313
PO BOX 1000
CHARLOTTE, North Carolina 282738135
Title: Treasurer
Phone # (704) 522-3141

Designated Agent(s):

ANDREA FITZGERALD
9300 ARROWPOINT BLVD.
CHARLOTTE, North Carolina 28273
Title: Assistant Treasurer
Phone # (704) 522-3052

Banks or Depositories

BANK OF AMERICA N.A
Customer Connection
DALLAS, Texas 752832406

THE CHASE MANHATTAN BANK N.A.
ONE LINCOLN CENTER-5TH FLOOR
SYRACUSE, New York 13202

Signed: MR. JEFFREY KLEIN
Date Signed: 05/17/2001
Official Committee URL: www.RoyalandSunAlliance.com

(End FEC FORM 1)

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