FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-209655
1. Hillenbrand Industries Political Action Committee
1069 State Route 46 EastBatesville, IN 47006
NOTE: Address is different than previously reported
2. Date: 12/12/2000
3. FEC Committee ID #: C00363804 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Custodian of Records:
Tom Jeffers1069 State Route 46 East
Batesville, IN 47006
Title: Treasurer
Phone # (812) 934-7958
Treasurer:
Tom Jeffers1069 State Route 46 East
Batesville, Indiana 47006-
Title: Treasurer
Phone # (812) 934-7958
Designated Agent(s):
Banks or Depositories
Fifth Third BankP.O. Box 630900
Cincinnati, Ohio 45263