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FEC Form 1 for LIBERTY MUTUAL INSURANCE COMPANY - PACForm 1 for LIBERTY MUTUAL INSURANCE COMPANY - PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1093540


1. LIBERTY MUTUAL INSURANCE COMPANY - PAC

    175 BERKELEY STREET
    BOSTON, MA 02116

    NOTE: Address is different than previously reported

    Email: renee.harper@libertymutual.com;joanne.lynch@libertymutual.com

    NOTE: Email address is different than previously reported

2. Date: 08/11/2016

3. FEC Committee ID #: C00171843 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

Liberty Mutual Insurance Company
175 Berkeley Street
Boston, Massachusetts 02116
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Renee Harper
175 Berkeley Street
Boston, MA 02116
Title: AVP & Controller
Phone # (617) 574-5773

Treasurer:

Renee Harper
175 Berkeley Street
Boston, Massachusetts 02116
Title: AVP & Controller
Phone # (617) 574-5773

Designated Agent(s):

Joanne Lynch
175 Berkeley Street
Boston, Massachusetts 02116
Title: Assistant Controller
Phone # (617) 574-5766

Banks or Depositories

Bank of America
210 Berkeley Street
Boston, Massachusetts 02116

Signed: Renee Harper
Date Signed: 08/11/2016

(End FEC FORM 1)


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