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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-956380

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1. Swedish Match North America, Inc. PAC

    1021 East Cary Street
    Richmond, VA 23219
    Email: dave.barnes@swedishmatch.com;wanda.blake@swedishmatch.com

    NOTE: Email address is different than previously reported

2. Date: 10/14/2014

3. FEC Committee ID #: C00215053 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

David Barnes
10383 Cherise Court
Mechanicsville, VA 23116
Title: Custodian of Records
Phone # (804) 787-5108

Treasurer:

WANDA BLAKE
14531 Waters Shore Drive
Midlothian, Virginia 23112
Title: Treasurer
Phone # (804) 787-5109

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
1021 East Cary Street
Richmond, Virginia 23219

Signed: WANDA BLAKE
Date Signed: 10/14/2014

(End FEC FORM 1)

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