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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1571820

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1. Old National Bank PAC

    1 Main Street
    Evansville, IN 47708
    Email: tim.geibel@oldnational.com

2. Date: 02/15/2022

3. FEC Committee ID #: C00165282 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Old National Bank
1 Main St.
Evansville, Indiana 477081464
Affiliated Relationship Code: Connected Organization

Committee ID# C00192906
FIRST MIDWEST BANCORP, INC GOVERNMENT
8750 WEST BRYN MAWR AVENUE
SUITE 1300
CHICAGO, Illinois 60631
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Tim Geibel
1 Main St.
Evansville, IN 477081464
Title: Treasurer
Phone # (812) 464-1228

Treasurer:

Tim Geibel
1 Main St.
Evansville, Indiana 477081464
Title: Treasurer
Phone # (812) 464-1228

Designated Agent(s):

Tim Geibel
1 Main St.
Evansville, Indiana 477081464
Title: Treasurer
Phone # (812) 464-1228

Banks or Depositories

Old National Bank
1 Main St.
Evansville, Indiana 47708

Signed: Tim Geibel
Date Signed: 02/25/2022

(End FEC FORM 1)

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