FEC Form 1 for Brown & Williamson Tobacco Corporation Employee Political Action CommitteeForm 1 for Brown & Williamson Tobacco Corporation Employee Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-130396

1. Brown & Williamson Tobacco Corporation Employee Political Action Committee

1500 Brown & Williamson Tower
P.O. Box 35090
Louisville, KY 40232
Fax: 0-
Email: tim_mckinney@bat.com

2. Date: 08/05/2004

3. FEC Committee ID #: C00087791 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

RJR POLITICAL ACTION COMMITTEE; REYNOLDS AMERICAN INC.
P.O. BOX 718
WINSTON-SALEM, North Carolina 27102
Relationship: AFFILIATED PAC
Organization Type: Corporation

Custodian of Records:

Phone # 0

Treasurer:

Timothy W. McKinney
1500 B & W Tower
PO Box 35090
Louisville, Kentucky 40232
Title: Gov't Affairs Manage
Phone # (502) 568-7000

Designated Agent(s):

Banks or Depositories

NATIONAL CITY BANK OF KENTUCKY
P.O. BOX 36000
LOUISVILLE, Kentucky 402336000

Signed: Timothy W. McKinney
Date Signed: 08/05/2004
Official Committee FAX: 0-

FORM TEXT

(End FEC FORM 1)

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