FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-410082
1. Nationwide Mutual Insurance Company Iowa Political Action Committee
1100 LocustDM-01-0301
Des Moines, IA 503910301
Email: bearins@nationwide.com
2. Date: 03/27/2009
3. FEC Committee ID #: C00123976 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00123976Nationwide
One Nationwide Plaza
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization
Nationwide Mutual Insurance Company Po
One Nationwide Plaza
1-27-10
Columbus, Ohio 43215
Affiliated Relationship Code: Affiliated Committee
Nationwide Mutual Insurance Company an
1601 Exposition Blvd; PC1A
Sacramento, California 95815
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Shannon BearingerOne Nationwide Plaza
Columbus, OH 43215
Title: Custodian of Records
Phone # (614) 249-5470
Treasurer:
Randall Kramer1100 Locust Street
Des Moines, Iowa 50391
Title: Treasurer
Phone # (515) 508-4850
Designated Agent(s):
Banks or Depositories
Nationwide BankOne Nationwide Plaza
Columbus, Ohio 43215
Wells Fargo
666 Walnut Street
Des Moines, Iowa 50309