FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1590672
1. Assurant Inc. Political Action Committee
1101 Pennsylvania Ave, NWSuite 300
Washington, DC 20004
NOTE: Address is different than previously reported
Email: keith.sheridan@assurant.com;AssurantPAC@assurant.comNOTE: Email address is different than previously reported
2. Date: 04/27/2022
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.55 Broadway, Suite 2901
New York, New York 10006
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Keith Sheridan260 Interstate North Circle, S.E.
Atlanta, GA 30339
Title: Treasurer
Phone # (770) 763-1814
Treasurer:
Keith Sheridan260 Interstate North Circle, S.E.
Atlanta, Georgia 30339
Title: Treasurer
Phone # (770) 763-1814
Designated Agent(s):
Heidi Star260 Interstate North Circle, S.E.
Atlanta, Georgia 30339
Title: Assistant Treasurer
Phone # (786) 486-8281
Banks or Depositories
Chain Bridge Bank1445-A Laughlin Avenue
McLean, Virginia 22101