FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-443019
1. Cracker Barrel Old Country Store, Inc. PAC
307 Hartmann DrivePO Box 787
Lebanon, TN 370880787
Email: psheehy@crackerbarrel.com
2. Date: 12/22/2009
3. FEC Committee ID #: C00252791 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated 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 Sheehy307 Hartmann Drive
PO Box 787
Lebanon, TN 370880787
Title: Dir., Gov. Relations
Phone # (615) 235-4161
Treasurer:
Mr. Larry Nokes307 Hartmann Drive, Dept 9425-4
PO Box 787
Lebanon, Tennessee 370880787
Title: Rest. Dist. Mgr.
Phone # (615) 444-5533
Designated Agent(s):
Forrest Shoaf305 Hartmann Drive
PO Box 787
Lebanon, Tennessee 370880787
Title: Sr. VP, General Coun
Phone # (615) 235-4280
Banks or Depositories
Wilson Bank & Trust623 West Main Street
Lebanon, Tennessee 37087