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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1483169

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1. STARR INSURANCE HOLDINGS INC PAC

    399 PARK AVENUE
    17TH FLOOR
    NEW YORK, NY 10022
    Email: MIOH@SKADDEN.COM

2. Date: 12/16/2020

3. FEC Committee ID #: C00509331 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Starr Insurance Holdings, Inc.
399 Park Avenue
17th Floor
New York, New York 10022
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Howard I. Smith
399 Park Avenue
17th Floor
New York, NY 10022
Title: Treasurer
Phone # (646) 227-6308

Treasurer:

Howard I. Smith
399 Park Avenue
17th Floor
New York, New York 10022
Title: Treasurer
Phone # (646) 227-6308

Designated Agent(s):

Minkeun Oh
1440 New York Ave., NW
Washington, DC 20005
Title: Designated Agent
Phone # (202) 371-7499

Banks or Depositories

JPMorgan Chase Bank, N.A.
270 Park Ave.
New York, New York 10017

Signed: Howard I. Smith
Date Signed: 12/17/2020

(End FEC FORM 1)

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