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-157946

1. American Beverage Association Political Action Committee (aka American Beverage PAC)

NOTE:Commmittee Name is different than previously reported

1101 - 16th Street N.W.
Washington, DC 20036
Fax: 202-659-5349

2. Date: 01/06/2005

3. FEC Committee ID #: C00100107 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Beverage Association
1101 - 16th Street N.W.
Washington, DC 20036
Relationship: Connected organization
Organization Type: Trade Association

Custodian of Records:

Mr. William A. McManus
1101 - 16th Street N.W.
Washington, DC 20036
Title: Custodian of Records
Phone # (202) 463-6738

Treasurer:

Mr. Mark N. Hammond
1101 - 16th Street N.W.
Washington, DC 20036
Title: Treasurer
Phone # (202) 463-6732

Designated Agent(s):

Barbara L. Hiden
1101 - 16th Street N.W.
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 463-6740

Banks or Depositories

Riggs Bank N.A.
P.O. Box 96758
Washington, DC 200906758

Signed: Mr. Mark N. Hammond
Date Signed: 01/06/2005
Official Committee FAX: 202-659-5349

(End FEC FORM 1)

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