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FEC Form 1 for Assurant Inc. Political Action CommitteeForm 1 for Assurant Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1161626


1. Assurant Inc. Political Action Committee

    501 W. Michigan St
    Milwaukee, WI 53203
    Email: John.Sondej@assurant.com

    NOTE: Email address is different than previously reported

2. Date: 05/09/2017

3. FEC Committee ID #: C00185694 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

Assurant Inc.
1 Chase Manhattan Plaza
New York, New York 10005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

John Sondej
28 Liberty Street
41st Floor
New York, NY 10005
Title: Treasurer
Phone # (212) 859-7209

Treasurer:

John Sondej
28 Liberty Street
41st Floor
New York, New York 10005
Title: Treasurer
Phone # (212) 859-7209

Designated Agent(s):

Banks or Depositories

US Bank
777 E. Wisconsin Ave.
Milwaukee, Wisconsin 53202

Signed: John Sondej
Date Signed: 05/09/2017

(End FEC FORM 1)


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