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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-726091

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1. Integrys Energy Group, Inc PAC

    130 E Randolph Dr
    Chicago, IL 60601
    Email: slming@comerica.com

    NOTE: Email address is different than previously reported

2. Date: 04/21/2011

3. FEC Committee ID #: C00442707 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

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

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

Nancy Cushman
P.O. Box 75000
MC2250
Detroit, Michigan 482752250
Title: PAC Treasurer
Phone # (248) 371-5562

Designated Agent(s):

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

Banks or Depositories

Associated Bank
PO Box 3293
Milwaukee, Wisconsin 532013293

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Nancy Cushman
Date Signed: 04/21/2011

(End FEC FORM 1)

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