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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1389286

1. Assurant Inc. Political Action Committee

601 13th Street, NW, Suite 1010N
Washington, DC 20005
Email: keith.sheridan@assurant.com

NOTE: Email address is different than previously reported

2. Date: 03/12/2020

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:

Keith Sheridan
260 Interstate North Circle, S.E.
Atlanta, GA 30339
Title: Treasurer
Phone # (770) 763-1814

Treasurer:

Keith Sheridan
260 Interstate North Circle, S.E.
Atlanta, Georgia 30339
Title: Treasurer
Phone # (770) 763-1814

Designated Agent(s):

Emily Hartough
28 Liberty Street, 41st Floor
New York, New York 10005
Title: Assistant Treasurer
Phone # (212) 859-7198

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1389286

1. Assurant Inc. Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 03/12/2020

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Keith Sheridan
Date Signed: 03/12/2020

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1389286

1. Assurant Inc. Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 03/12/2020

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Keith Sheridan Date Signed: 03/12/2020

(End FEC FORM 1)

Signed: Keith Sheridan
Date Signed: 03/12/2020