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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-769460

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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: 03/09/2012

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

Affiliated Committees/Organizations

Lincoln National Corporation
150 N Radnor Chester Road
Radnor, Pennsylvania 19087
Affiliated Relationship Code: Connected Organization

Custodian of Records:

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

Treasurer:

Jeffrey Coutts
150 N Radnor Chester Road
Radnor, Pennsylvania 19087
Title: SVP and Treasurer
Phone # (484) 583-1432

Designated Agent(s):

Kristi Harkenrider
1300 South Clinton Street
Fort Wayne, Indiana 46802
Title: Assistant Treasurer
Phone # (260) 455-4025

Banks or Depositories

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

Signed: Jeffrey Coutts
Date Signed: 03/09/2012

(End FEC FORM 1)

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