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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-896884

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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: 12/09/2013

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, 1-32-301
Columbus, Ohio 43215
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Scott Paulson
3300 SW Williston Road
Gainesville, FL 32608
Title: Custodian of Records

Treasurer:

Mr. Timothy Dwyer
One Nationwide Plaza, 1-32-301
Columbus, Ohio 43215
Title: Treasurer
Phone # (614) 249-7725

Designated Agent(s):

Mr. James Benney
One Nationwide Plaza
Mail Code 1-26-05
Columbus, Ohio 43215
Title: AssistantTreasurer
Phone # (614) 249-7811

Banks or Depositories

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

Signed: Mr. Timothy Dwyer
Date Signed: 12/05/2013

(End FEC FORM 1)

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