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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-742559

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1. Nationwide Mutual Insurance Company Financial & Investments Political Action Committee

    One Nationwide Plaza, 1-32-301
    Columbus, OH 43215

    NOTE: Address is different than previously reported

    Email: pac@nationwide.com

2. Date: 08/19/2011

3. FEC Committee ID #: C00406215 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Nationwide Mutual Insurance Company
One Nationwide Plaza
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization

Nationwide Mutual Insurance Company Po
One Nationwide Plaza
1-32-301
Columbus, Ohio 43215
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Treasurer:

Gerard Golden
601 13th Street, NW
Suite 390
Washington, DC 20005
Title: Sr. Gov't Relations
Phone # (202) 247-5913

Designated Agent(s):

Banks or Depositories

Huntington
41 South High Street
Columbus, Ohio 43215

Signed: Mr. Gerard Golden
Date Signed: 08/19/2011

(End FEC FORM 1)

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