FEC Form 1 for GROCERY MANUFACTURERS ASSOCIATION POLITICAL ACTION COMMITTEE ('GMA PAC')Form 1 for GROCERY MANUFACTURERS ASSOCIATION POLITICAL ACTION COMMITTEE ('GMA PAC')

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-792376

1. GROCERY MANUFACTURERS ASSOCIATION POLITICAL ACTION COMMITTEE ('GMA PAC')

1350 Eye Street
Suite 300
WASHINGTON, DC 20005
Email: mmicali@gmaonline.org

NOTE: Email address is different than previously reported

2. Date: 02/09/2010

3. FEC Committee ID #: C00250068 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Grocery Manufacturers Association
1350 I Street, NW
Suite 300
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mark Micali
3037 North Quincy St.
Arlington, VA 22207
Title: VP Federal Affairs
Phone # (202) 295-3931

Treasurer:

Mark Micali
3037 North Quincy St.
Arlington, Virginia 22207
Title: VP Federal Affairs
Phone # (202) 295-3931

Designated Agent(s):

Banks or Depositories

Wachovia Bank
1300 I St, NW
Washington, DC 20005

Signed: Mark Micali
Date Signed: 06/25/2012

(End FEC FORM 1)

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