FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-723072
1. Nationwide Mutual Insurance Company Political Action Committee
One Nationwide Plaza1-27-10
Columbus, OH 43215
Email: pac@nationwide.com
NOTE: Email address is different than previously reported
2. Date: 04/14/2011
3. FEC Committee ID #: C00076174 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
NationwideOne Nationwide Plaza
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization
Nationwide Mutual Insurance Company Io
1100 Locust
DM-01-0301
Des Moines, Iowa 503910301
Affiliated Relationship Code: Affiliated Committee
Nationwide Mutual Insurance Company Fi
One Nationwide Plaza
Columbus, Ohio 43215
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Shannon WilksOne Nationwide Plaza
2-5-18
Columbus, OH 43215
Title: Custodian of Records
Phone # (614) 249-5470
Treasurer:
Carol DoveOne Nationwide Plaza
1-3-802
Columbus, Ohio 43215
Title: Treasurer
Phone # (614) 249-6963
Designated Agent(s):
James BenneyOne Nationwide Plaza
Mail Code 1-26-05
Columbus, Ohio 43215
Title: AssistantTreasurer
Phone # (614) 249-7811
Banks or Depositories
Huntington National Bank41 South High Street
HC0810
Columbus, Ohio 43215
Nationwide Bank
One Nationwide Plaza
Columbus, Ohio 43215