FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1057606
1. Chubb Group Holdings Inc. Legacy Political Action Committee
NOTE:Commmittee Name is different than previously reported
15 Mountain View RoadWarren, NJ 07059
Email: snarron@chubb.com
2. Date: 03/29/2016
3. FEC Committee ID #: C00229203 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Chubb Group Holdings Inc.436 Walnut Street
WAO4P
Philadelphia, Pennsylvania 19106
Affiliated Relationship Code: Connected Organization
Chubb Group Holdings Inc. Political Ac
436 Walnut Street
WAO4P
Philadelphia, Pennsylvania 19106
Affiliated Relationship Code: Affiliated Committee
Rain and Hail Insurance Society Politi
9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Treasurer:
Thomas J. Ganter15 Mountain View Road
Warren, New Jersey 07059
Title: Treasurer
Phone # (908) 903-2340
Designated Agent(s):
Sima Narron901 F Street, NW
Suite 550
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 772-1318
Banks or Depositories
Peapack-Gladstone BankPO box 178
Gladstone, New Jersey 07934