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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-767260

1. NiSource Inc. PAC

200 Civic Center Drive
Columbus, OH 43215
Email: jbruck@nisource.com

NOTE: Email address is different than previously reported

2. Date: 02/21/2012

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.
200 Civic Center Drive
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Timothy J. Tokish, Jr.
200 Civic Center Drive
Columbus, OH 43215
Title: Treasurer
Phone # (614) 460-6413

Treasurer:

Timothy J. Tokish, Jr.
200 Civic Center Drive
Columbus, Ohio 43215
Title: Treasurer
Phone # (614) 460-6413

Designated Agent(s):

Rebecca Sczudio
10 G Street NE
Suite 400
Washington, DC 20002
Title: Assistant Treasurer
Phone # (202) 216-9770

Banks or Depositories

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

Signed: Timothy J. Tokish, Jr.
Date Signed: 02/21/2012

(End FEC FORM 1)

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