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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1386827

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1. Hannover Life Reassurance Company of America PAC

    200 S. Orange Ave
    Suite 1900
    Orlando, FL 32801
    Email: hlramericaPAC@hlramerica.com

2. Date: 02/28/2020

3. FEC Committee ID #: C00740498 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Hannover Life Reassurance Company of America
200 S. Orange Ave
Suite 1900
Orlando, Florida 32801
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Peter R. Schaefer
200 S. Orange Ave
Suite 1900
Orlando, FL 32801

Treasurer:

Clinton J. Thompson
200 S. Orange Ave
Suite 1900
Orlando, Florida 32801
Phone # (407) 649-8411

Designated Agent(s):

Glen E. Martin
200 S. Orange Ave
Suite 1900
Orlando, Florida 32801

Banks or Depositories

Wells Fargo Bank
800 N. Magnolia, Ste 800
Orlando, Florida 32803

Signed: Clinton J. Thompson
Date Signed: 02/28/2020

(End FEC FORM 1)

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