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FEC Form 1 for 1ST SOURCE CORPORATION POLITICAL ACTION COMMITTEEForm 1 for 1ST SOURCE CORPORATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-347348


1. 1ST SOURCE CORPORATION POLITICAL ACTION COMMITTEE

    P O BOX 1602
    SOUTH BEND, IN 46634

2. Date: 07/07/2008

3. FEC Committee ID #: C00181529 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

1st Source Corporation
P. O. Box 1602
South Bend, Indiana 46634
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Andrea G. Short
1st Source Bank
P. O. Box 1602
South Bend, IN 46634
Title: Custodian
Phone # (574) 235-2348

Treasurer:

Andrea G. Short
1st Source Bank
P. O. Box 1602
South Bend, Indiana 46634
Title: Treasurer
Phone # (574) 235-2348

Designated Agent(s):

Larry Lentych
1st Source Bank
P.O. Box 1602
South Bend, Indiana 46634
Title: Asst. Treasurer
Phone # (574) 235-2702

Banks or Depositories

1st Source Bank
P.O. Box 1602
South Bend, Indiana 46634

Signed: Andrea G. Short
Date Signed: 07/07/2008

(End FEC FORM 1)


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