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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1538209

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1. W. R. Berkley Corporation Political Action Committee

    475 Steamboat Road
    4th Floor
    Greenwich, CT 06830
    Email: berkpac@electioncompliance.com,berkpac@wrberkley.com

2. Date: 09/16/2021

3. FEC Committee ID #: C00383307 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

W.R. Berkley Corporation
475 Steamboat Road
Greenwich, Connecticut 06830
Affiliated Relationship Code: Connected Organization

Custodian of Records:

PAC Outsourcing, LLC
5845 Richmond Hwy., Suite 820
Alexandria, VA 22303
Title: Custodian
Phone # (703) 347-6551

Treasurer:

William R. Berkley, Jr.
475 Steamboat Road
Greenwich, Connecticut 06830
Title: Treasurer
Phone # (203) 629-3000

Designated Agent(s):

John M. Littzi
475 Steamboat Road
Greenwich, Connecticut 06830
Title: Assistant Treasurer
Phone # (203) 629-3000

Banks or Depositories

The Greenwich Bank & Trust
115 East Putnam Avenue
Greenwich, Connecticut 06830

Signed: William R. Berkley, Jr.
Date Signed: 09/16/2021

(End FEC FORM 1)

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