FEC Form 1 for American Beverage Association Political Action Committee (AKA AMERICAN BEVERAGE PAC)Form 1 for American Beverage Association Political Action Committee (AKA AMERICAN BEVERAGE PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1544982

1. American Beverage Association Political Action Committee (AKA AMERICAN BEVERAGE PAC)

1275 Pennsylvania Ave NW
Suite 1100
Washington, DC 20004
Email: spine@ameribev.org;aalekseev@americanbeverage.org

2. Date: 10/15/2021

3. FEC Committee ID #: C00100107 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Beverage Association
1275 Pennsylvania Ave NW
Suite 1100
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Artem Alekseev
1275 Pennsylvania Ave NW
Suite 1100
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 463-6712

Treasurer:

Robb Micek
1275 Pennsylvania Ave NW
Suite 1100
Washington, DC 20004
Title: Treasurer
Phone # (202) 463-6738

Designated Agent(s):

Barbara L. Hiden
1275 Pennsylvania Ave NW
Suite 1100
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 463-6738

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1544982

1. American Beverage Association Political Action Committee (AKA AMERICAN BEVERAGE PAC)

2. Date: 10/15/2021

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Robb Micek
Date Signed: 10/15/2021

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1544982

1. American Beverage Association Political Action Committee (AKA AMERICAN BEVERAGE PAC)

2. Date: 10/15/2021

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Robb Micek Date Signed: 10/15/2021

(End FEC FORM 1)

Signed: Robb Micek
Date Signed: 10/15/2021