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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1235509

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1. Nationwide Mutual Insurance Company Political Action Committee

    One Nationwide Plaza
    1-32-301
    Columbus, OH 43215
    Email: pac@nationwide.com

2. Date: 05/31/2018

3. FEC Committee ID #: C00076174 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

Nationwide
One Nationwide Plaza
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization

Nationwide Mutual Insurance Company Fi
One Nationwide Plaza, 1-32-404
Columbus, Ohio 43215
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Ellen Locke
One Nationwide Plaza, 1-32-301
Columbus, OH 43215
Title: Custodian of Records
Phone # (202) 347-9590

Treasurer:

Steven English
One Nationwide Plaza
1-32-301
Columbus, Ohio 43215
Title: Treasurer
Phone # (614) 249-7725

Designated Agent(s):

Eleanor Palmer
One Nationwide Plaza, 1-32-102
Columbus, Ohio 43215
Title: Assistant Treasurer
Phone # (614) 677-6330

Banks or Depositories

Huntington National Bank
41 South High Street
HC0810
Columbus, Ohio 43215

Signed: Steven English
Date Signed: 05/31/2018

(End FEC FORM 1)

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