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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-996620

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1. Ohio National Financial Services Political Action Committee

    One Financial Way
    Cincinnati, OH 45242
    Email: jerome_bishop@ohionational.com;debra_white@ohionational.com

    NOTE: Email address is different than previously reported

2. Date: 03/12/2015

3. FEC Committee ID #: C00296657 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Ohio National Financial Services
One Financial Way
Cincinnati, Ohio 45242
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jerome Bishop
One Financial Way
Cincinnati, OH 45242
Title: PAC Treasurer
Phone # (513) 794-6627

Treasurer:

Jerome Bishop
One Financial Way
Cincinnati, Ohio 45242
Title: PAC Treasurer
Phone # (513) 794-6627

Designated Agent(s):

Banks or Depositories

US Bank
425 Walnut St
Cincinnati, Ohio 45202

Signed: Jerome Bishop
Date Signed: 03/12/2015

(End FEC FORM 1)

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