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FEC Form 1 for Chubb Group Holdings Inc. Political Action CommitteeForm 1 for Chubb Group Holdings Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1057607


1. Chubb Group Holdings Inc. Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    436 Walnut Street
    WAO4P
    Philadelphia, PA 19106
    Email: karen.valanzano@chubb.com

    NOTE: Email address is different than previously reported

2. Date: 03/29/2016

3. FEC Committee ID #: C00348938 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Chubb Group Holdings Inc.
436 Walnut Street
Philadelphia, Pennsylvania 19106
Affiliated Relationship Code: Connected Organization

Committee ID# C00279505
Rain and Hail Insurance Society Politi
9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Affiliated Relationship Code: Affiliated Committee

Chubb Group Holdings Inc. Legacy Polit
15 Mountain View Road
Warren, New Jersey 07059
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:


Treasurer:

Karen Valanzano
901 F Street NW
Suite 550
Washington, DC 20004
Title: Treasurer
Phone # (202) 347-7393

Designated Agent(s):

Sarah Schradin
901 F Street NW
Suite 550
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 347-7440

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 336225118

Signed: Karen Valanzano
Date Signed: 03/29/2016

(End FEC FORM 1)


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