FEC Form 1 for NiSource Inc. PACForm 1 for NiSource Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1371111

1. NiSource Inc. PAC

290 W Nationwide Boulevard
Columbus, OH 43215
Email: bradulovich@nisource.com

2. Date: 01/15/2020

3. FEC Committee ID #: C00051979 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

NiSource Inc.
290 W Nationwide Boulevard
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jason Muller
601 Pennsylvania Avenue NW
Suite 900, South Bldg
Washington, DC 20004
Title: PAC Manager
Phone # (202) 434-8292

Treasurer:

Brett Radulovich
290 W Nationwide Boulevard
Columbus, Ohio 43215
Title: Treasurer
Phone # (614) 460-6413

Designated Agent(s):

Randy G. Hulen
801 East 86th Avenue
Merrillville, Indiana 46410
Title: Assistant Treasurer
Phone # (219) 647-5688

Banks or Depositories

JPMorgan Chase Bank, N.A.
PO Box 659754
San Antonio, Texas 782659754

Signed: Brett Radulovich
Date Signed: 01/15/2020

FORM TEXT-1

(End FEC FORM 1)

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