FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-744193
1. Liberty Mutual Insurance Company - PAC
175 Berkeley StreetBoston, MA 02117
Email: brian.monteiro@libertymutual.com
NOTE: Email address is different than previously reported
2. Date: 09/09/2011
3. FEC Committee ID #: C00171843 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Liberty Mutual Insurance Company175 Berkeley Street
Boston, Massachusetts 02117
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Paul Mattera175 Berkeley Street
Boston, MA 02117
Title: Custodian of Records
Phone # (617) 357-9500
Treasurer:
Laurance Yahia175 Berkeley Street
Boston, Massachusetts 02117
Title: Treasurer
Phone # (617) 357-9500
Designated Agent(s):
Mark D'Amato175 Berkeley Street
Boston, Massachusetts 02117
Title: Assistant Treasurer
Phone # (617) 357-9500
Banks or Depositories
Bank of America100 Federal Street
Boston, Massachusetts 02110