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-887238

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

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

NOTE: Email address is different than previously reported

2. Date: 09/19/2013

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

Affiliated Committees/Organizations

Westfield Group
One Park Circle
P.O. Box
Westfield Center, Ohio 44251
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Brian Paul
119 Olive Street
Chagrin Falls, Ohio 44022
Title: Govt. Relations
Phone # (330) 887-8294

Designated Agent(s):

Mark Schloemer
163 Norwood Ave.
Norwalk, Ohio 44857
Title: Assistant Treasurer
Phone # (330) 887-6645

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-887238

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

NOTE: Email address is different than previously reported

2. Date: 09/19/2013

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Brian Paul
Date Signed: 09/03/2013

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-887238

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

NOTE: Email address is different than previously reported

2. Date: 09/19/2013

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Brian Paul Date Signed: 09/03/2013

(End FEC FORM 1)

Signed: Brian Paul
Date Signed: 09/03/2013