FEC Form 1 for PepsiCo, Inc. Concerned Citizens FundForm 1 for PepsiCo, Inc. Concerned Citizens Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-756987

1. PepsiCo, Inc. Concerned Citizens Fund

700 Anderson Hill Road
Purchase, NY 10577
Email: pamela.nathe@pepsico.com

2. Date: 01/01/1985

3. FEC Committee ID #: C00039321 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

PepsiCo, Inc
700 Anderson Hill Road
Purchase, New York 10577
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Pamela Nathe
700 Anderson Hill Road
Purchase, NY 10577
Title: PAC Director
Phone # (914) 253-2187

Treasurer:

David Yawman
PepsiCo, Inc.
1 Pepsi Way
Somers, New York 10589
Title: LEGAL SVP & GC NAB
Phone # (914) 767-7620

Designated Agent(s):

Banks or Depositories

Citibank, NA
220 Westchester Avenue
White Plains, New York 10604

Merrill Lynch Government Fund
PO Box 8118
Boxton, Massachusetts 02266

Signed: David Yawman
Date Signed: 01/10/2012

(End FEC FORM 1)

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