FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-385431
1. Nationwide Mutual Insurance Company and Allied Group Inc. PAC of California
1601 Exposition Blvd; PC1ASacramento, CA 95815
Fax: 6142493073
Email: cap@nationwide.com
2. Date: 11/20/2008
3. FEC Committee ID #: C00406215 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Committee ID# C00406215Nationwide Mutual Insurance Company and Allied Group Inc.
1601 Exposition Blvd; PC1A
Sacramento, California 95815
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 Io
1100 Locust
DM-01-0301
Des Moines, Iowa 503910301
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Treasurer:
Cecil Autry1601 Exposition Blvd
Sacramento, California 95815
Title: Lead Council
Phone # (916) 920-7505
Designated Agent(s):
Cheryl Bryant1601 Exposition Blvd
Sacramento, California 95815
Title: Assstant Treasurer
Phone # (916) 924-4160
Banks or Depositories
Huntington41 South High Street
Columbus, Ohio 43215