FEC Form 1 for American Family Mutual Insurance Company, S.I. Federal PAC (AMFAM PAC)Form 1 for American Family Mutual Insurance Company, S.I. Federal PAC (AMFAM PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1293442

1. American Family Mutual Insurance Company, S.I. Federal PAC (AMFAM PAC)

6000 American Parkway
Madison, WI 53783
Email: politicalaction@amfam.com;outsourcing@aristotle.com

NOTE: Email address is different than previously reported

2. Date: 11/28/2018

3. FEC Committee ID #: C00354290 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

American Family Mutual Insurance Company, S.I.
6000 American Parkway
Madison, Wisconsin 537830001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jessica D Alanis
6000 American Pkwy
Madison, WI 537830001
Title: Custodian of Records
Phone # (608) 249-2111

Treasurer:

Lee C Fanshaw
6000 American Pkwy
Madison, Wisconsin 537830001
Title: Treasurer
Phone # (608) 249-2111

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1293442

1. American Family Mutual Insurance Company, S.I. Federal PAC (AMFAM PAC)

NOTE: Email address is different than previously reported

2. Date: 11/28/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lee C Fanshaw
Date Signed: 11/30/2018

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1293442

1. American Family Mutual Insurance Company, S.I. Federal PAC (AMFAM PAC)

NOTE: Email address is different than previously reported

2. Date: 11/28/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lee C Fanshaw Date Signed: 11/30/2018

(End FEC FORM 1)

Signed: Lee C Fanshaw
Date Signed: 11/30/2018