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FEC Form 1 for General Casualty Company of Wisconsin Employees PACForm 1 for General Casualty Company of Wisconsin Employees PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-130606

1. General Casualty Company of Wisconsin Employees PAC

    One General Drive
    Sun Prairie, WI 53596
    Fax: 6088255899
    Email: joe.decker@win-na.com

2. Date: 08/09/2004

3. FEC Committee ID #: C00330522 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Mr. Joseph Decker
One General Drive
Sun Prairie, WI 53596

Treasurer:

Mr. Joseph Decker
One General Drive
Sun Prairie, Wisconsin 53596

Designated Agent(s):

Banks or Depositories

Signed: Mr. Joseph Decker
Date Signed: 08/09/2004
Official Committee FAX: 6088255899

(End FEC FORM 1)


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