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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-299236

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1. QBE Regional Companies (N.A.) Inc. Employee PAC

    NOTE:Commmittee Name is different than previously reported

    One General Drive
    Sun Prairie, WI 53596
    Fax: 6088255899
    Email: QBERIEmployeePAC@qbeamericas.com

2. Date: 08/01/2007

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

Affiliated Committees/Organizations

QBE Regional Companies (N.A.) Inc.
One General Drive
Sun Prairie, Wisconsin 53596
Relationship: Sponsoring Org.
Organization Type: Corporation

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Signed: Mr. Joseph Decker
Date Signed: 08/01/2007
Official Committee FAX: 6088255899

(End FEC FORM 1)

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