FEC Form 1 for Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance CompanyForm 1 for Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1135240

1. Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

One Park Circle
P.O. Box 5001
Westfield Center, OH 442515001
Email: jaclyntaylor@westfieldgrp.com;melissawheeler@westfieldgrp.com

NOTE: Email address is different than previously reported

2. Date: 01/01/2017

3. FEC Committee ID #: C00376863 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Ohio Farmers Insurance Company
One Park Circle
PO Box 5001
Westfield Center, Ohio 44251
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Melissa Wheeler
501 Garden Drive
Worthington, Ohio 43085
Title: Treasurer
Phone # (330) 887-6645

Designated Agent(s):

George Brown
1140 Auburn Ave.
Cleveland, Ohio 44113
Title: Assistant Treasurer
Phone # (330) 887-8294

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1135240

1. Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

NOTE: Email address is different than previously reported

2. Date: 01/01/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: George Brown
Date Signed: 12/15/2016

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1135240

1. Westfield Federal Employee Political Action Committee of Ohio Farmers Insurance Company

NOTE: Email address is different than previously reported

2. Date: 01/01/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: George Brown Date Signed: 12/15/2016

(End FEC FORM 1)

Signed: George Brown
Date Signed: 12/15/2016