FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-910046
1. Asurion LLC Political Action Committee (Asurion PAC)
NOTE:Commmittee Name is different than previously reported
648 Grassmere Park, Suite 300Nashville, TN 37211
Email: paul.fassbender@asurion.com
2. Date: 02/28/2013
3. FEC Committee ID #: C00450916 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Asurion LLC648 Grassmere Park
Suite 300
Nashville, Tennessee 37211
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Paul Fassbender648 Grassmere Park
Suite 300
Nashville, TN 37211
Title: Treasurer
Phone # (615) 445-1147
Treasurer:
Paul Fassbender648 Grassmere Park
Suite 300
Nashville, Tennessee 37211
Title: Treasurer
Phone # (615) 445-1147
Designated Agent(s):
Banks or Depositories
Wells Fargo2000 L Street, NW
Washington, DC 20036