FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-186301
1. Assurant Inc. Political Action Committee
501 W. Michigan St.Milwaukee, WI 53203
2. Date: 09/15/2005
3. FEC Committee ID #: C00185694 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Assurant Inc.1 Chase Manhattan Plaza
New York, New York 10005
Relationship: Connected Organization
Organization Type: Corporation
Custodian of Records:
Amy Newgard501 West Michigan
Milwaukee, WI 53203
Title: Treasurer
Phone # (414) 299-6793
Treasurer:
Amy Newgard501 West Michigan
Milwaukee, Wisconsin 53203
Title: Treasurer
Phone # (414) 299-6793
Designated Agent(s):
Steve Swanson501 West Michigan
Milwaukee, Wisconsin 53203
Title: Assistant Treasurer
Phone # (414) 299-6798
Banks or Depositories
U.S. Bank777 E. Wisconsin Avenue
Milwaukee, Wisconsin 53201