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FEC Form 1 for Cracker Barrel Old Country Store, Inc. PACForm 1 for Cracker Barrel Old Country Store, Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-392635


1. Cracker Barrel Old Country Store, Inc. PAC

    NOTE:Commmittee Name is different than previously reported

    307 Hartmann Drive
    PO Box 787
    Lebanon, TN 370880787

    NOTE: Address is different than previously reported

    Fax: 615-235-4180
    Email: psheehy@crackerbarrel.com

2. Date: 12/23/2008

3. FEC Committee ID #: C00252791 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Cracker Barrel Old Country Store, Inc.
307 Hartmann Drive, Dept. 9425-4
PO Box 787
Lebanon, Tennessee 370880787
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Patrick Sheehy
307 Hartmann Drive
PO Box 787
Lebanon, TN 370880787
Title: Dir., Gov. Relations
Phone # (615) 235-4161

Treasurer:

Mr. Larry Nokes
307 Hartmann Drive, Dept 9425-4
PO Box 787
Lebanon, Tennessee 370880787
Title: Rest. Dist. Mgr.
Phone # (615) 444-5533

Designated Agent(s):

Diana Wynne
305 Hartmann Drive
PO Box 787
Lebanon, Tennessee 370880787
Title: SVP, Corp. Affairs
Phone # (615) 443-9837

Banks or Depositories

Wilson Bank & Trust
623 West Main Street
Lebanon, Tennessee 37087

Signed: Mr. Larry Nokes
Date Signed: 12/23/2008
Official Committee FAX: 615-235-4180


FORM TEXT

(End FEC FORM 1)


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