FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1364578
1. Assurant Inc. Political Action Committee
601 13th Street, NW, Suite 1010NWashington, DC 20005
NOTE: Address is different than previously reported
Email: tom.bolovinos@assurant.com2. Date: 11/22/2019
3. FEC Committee ID #: C00185694 This committee is a separate segregated fund. Its connected organization is a CorporationIn 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:
Tom Bolovinos28 Liberty Street
41st Floor
New York, NY 10005
Title: Treasurer
Phone # (212) 859-7023
Treasurer:
Tom Bolovinos28 Liberty Street
41st Floor
New York, New York 10005
Title: Treasurer
Phone # (212) 859-7023
Designated Agent(s):
Banks or Depositories
US Bank777 E. Wisconsin Ave.
Milwaukee, Wisconsin 53202