FEC Form 1 for Asurion LLC Political Action Committee (Asurion PAC)Form 1 for Asurion LLC Political Action Committee (Asurion PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1669846

1. Asurion LLC Political Action Committee (Asurion PAC)

140 11th Ave North
Nashville, TN 37203

NOTE: Address is different than previously reported

Email: grant.mullins@asurion.com

2. Date: 12/07/2022

3. FEC Committee ID #: C00450916 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Asurion LLC
140 11th Ave North
Nashville, Tennessee 37203
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Grant Mullins
140 11th Ave North
Nashville, TN 37203
Title: Treasurer
Phone # (615) 837-3000

Treasurer:

Grant Mullins
140 11th Ave North
Nashville, Tennessee 37203
Title: Treasurer
Phone # (615) 837-3000

Designated Agent(s):

Banks or Depositories

Wells Fargo
2000 L Street, NW
Washington, DC 20036

Signed: Grant Mullins
Date Signed: 12/08/2022

(End FEC FORM 1)

Generated Mon Jul 22 15:32:56 2024