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-1134917

1. Chubb Group Holdings Inc. Political Action Committee

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

2. Date: 12/13/2016

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

Custodian of Records:

Treasurer:

Karen Valanzano
1001 G Street NW
Suite 400 West
Washington, DC 20001
Title: Treasurer
Phone # (202) 649-2242

Designated Agent(s):

Sarah Schradin
1001 G Street NW
Suite 400 West
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 649-2243

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 336225118

Signed: Karen Valanzano
Date Signed: 12/13/2016

(End FEC FORM 1)

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