FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1041599
1. Rain and Hail Insurance Society Political Action Committee
9200 Northpark DriveSuite 300
Johnston, IA 50131
Email: tim.otten@rainhail.com
2. Date: 01/22/2016
3. FEC Committee ID #: C00279505 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Rain and Hail Insurance Society9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Affiliated Relationship Code: Connected Organization
Committee ID# C00348938
Chubb-ACE Group Holdings, Inc. Politic
436 Walnut Street
WAO4P
Philadelphia, Pennsylvania 19106
Affiliated Relationship Code: Affiliated Committee
Chubb-ACE Group Holdings Inc. Legacy P
15 Mountain View Road
Warren, New Jersey 07059
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Timothy G. Otten9200 Northpark Drive
Suite 300
Johnston, IA 50131
Title: Treasurer
Phone # (515) 559-1000
Treasurer:
Timothy G. Otten9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Title: Treasurer
Phone # (515) 559-1000
Designated Agent(s):
William Ufer3120 Highwoods Blvd
Suite 202
Raleigh, North Carolina 27604
Title: Assistant Treasurer
Phone # (919) 790-1537
Banks or Depositories
West BankPO Box 65020
West Des Moines, Iowa 502650020