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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751394

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1. Lincoln National Corporation Political Action Committee

    1300 South Clinton Street
    Fort Wayne, IN 46802
    Email: KRIS.ASH@LFG.COM

2. Date: 10/27/2011

3. FEC Committee ID #: C00110577 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Custodian of Records:

Kristina Ash
1300 South Clinton Street
Fort Wayne, IN 46802
Title: LNCPAC ADMINISTRATOR
Phone # (260) 455-3551

Treasurer:

Mr. ANANT BHALLA
150 NORTH RADNOR-CHESTER ROAD
RADNOR, Pennsylvania 19087
Title: VP CORP TREASURER
Phone # (484) 583-1432

Designated Agent(s):

Banks or Depositories

PNC Bank
Customer Service
P O Box 609
Pittsburgh, Pennsylvania 152300609

Signed: Mr. ANANT BHALLA
Date Signed: 10/31/2011

(End FEC FORM 1)

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