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FEC Form 1 for WALGREEN CO PACForm 1 for WALGREEN CO PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-452826


1. WALGREEN CO PAC

    104 WILMOT ROAD MS #1447
    DEERFIELD, IL 60015
    Email: joel.baise@walgreens.com

    NOTE: Email address is different than previously reported

2. Date: 02/16/2010

3. FEC Committee ID #: C00160770 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

WALGREEN CO
104 Wilmot Rd
MS 1447
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Joel Baise
1411 Lake Cook Road
MS# L414
Deerfield, IL 60015
Title: Treasurer
Phone # (847) 315-4440

Treasurer:

Joel Baise
1411 Lake Cook Road
MS# L414
Deerfield, Illinois 60015
Title: Treasurer
Phone # (847) 315-4440

Designated Agent(s):

Banks or Depositories

Banco Popular North America
P.O. Box 2057
Sanford, Florida 327722057

Signed: Joel Baise
Date Signed: 02/18/2010

(End FEC FORM 1)


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