FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-799837
1. National Association of Professional Surplus Lines Offices (NAPSLO) PAC
1050 K Street, NWSuite 400
Washington, DC 20001
NOTE: Address is different than previously reported
Email: maria.berthoud@faegrebd.com;pamela.propst@faegrebd.comNOTE: Email address is different than previously reported
2. Date: 03/15/2006
3. FEC Committee ID #: C00417634 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
National Association of Professional Surplus Lines Offices, Ltd. (NAPSLO)200 N E 54 St.
Suite 200
Kansas City, Missouri 64118
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Pamela Propst1050 K St NW
Ste 400
Washington, DC 20001
Title: Administrator
Phone # (202) 312-7447
Treasurer:
Brady Kelley200 NE 54th St.
Ste. 200
Kansas City, Missouri 64118
Title: Treasurer
Phone # (816) 741-3910
Designated Agent(s):
Ms Maria L. Berthoud1050 K Street, NW
Suite 400
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 312-7413
Banks or Depositories
PNC620 Liberty Avenue
Pittsburgh, Pennsylvania 15222