FEC Form 1 for Integrys Energy Group, Inc PACForm 1 for Integrys Energy Group, Inc PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410120

1. Integrys Energy Group, Inc PAC

130 E Randolph Dr
Chicago, IL 60601
Email: BAJohnson@integrysgroup.com

2. Date:

3. FEC Committee ID #: C00442707 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

Integrys Energy Group, Inc.
130 E. Randolph Dr.
Chicago, Illinois 60601
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Bradley A Johnson
700 N Adams
Green Bay, Wisconsin 54307
Phone # (920) 433-1662

Designated Agent(s):

David Waltz
130 E. Randolph
18th Fl.
Chicago, Illinois 60601
Title: Assistant Treasurer
Phone # (312) 240-4861

Banks or Depositories

Associated Bank
PO Box 3293
Milwaukee, Wisconsin 532013293

Signed: Bradley A Johnson
Date Signed: 03/27/2009

(End FEC FORM 1)

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