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-992612

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;sallyestvanic@westfieldgrp.com

NOTE: Email address is different than previously reported

2. Date: 02/06/2015

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
Westfield Center, Ohio 442515001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Sally A. Estvanic
1714 Coyote Run
Valley City, Ohio 44280
Title: Treasurer
Phone # (330) 887-0992

Designated Agent(s):

Joseph Kohmann
Two Park Circle
Westfield Center, Ohio 44251
Title: Assistant Treasurer
Phone # (330) 887-0630

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-992612

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

NOTE: Email address is different than previously reported

2. Date: 02/06/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Sally A. Estvanic
Date Signed: 02/06/2015

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-992612

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

NOTE: Email address is different than previously reported

2. Date: 02/06/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Sally A. Estvanic Date Signed: 02/06/2015

(End FEC FORM 1)

Signed: Sally A. Estvanic
Date Signed: 02/06/2015