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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1010916

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1. Swiss Re America Holding Corporation Political Action Committee

    175 King Street
    Armonk, NY 10504
    Email: FECINFO@pass1.com

    NOTE: Email address is different than previously reported

2. Date: 06/18/2015

3. FEC Committee ID #: C00462564 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

Swiss Re America Holding Corporation
175 King Street
Armonk, New York 10504
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Donald G. Preston Jr.
c/o PASS
1950 Roland Clarke Place Suite 300
Reston, VA 20191
Title: Custodian
Phone # (202) 742-4624

Treasurer:

Donald G. Preston Jr.
101 Constitution Avenue NW
Washington, DC 20001
Title: Treasurer
Phone # (202) 742-4624

Designated Agent(s):

Craig C Zahnd
5200 Metcalf Avenue
Overland Park, Kansas 66201
Title: Assistant Treasurer
Phone # (913) 676-5966

Banks or Depositories

Bank of New York Mellon
One Wall Street
New York, New York 10286

Signed: Donald G. Preston Jr.
Date Signed: 06/18/2015
Official Committee URL: N/A

FORM TEXT-1

(End FEC FORM 1)

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