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-756989

1. Cracker Barrel Old Country Store, Inc. PAC

307 Hartmann Drive
PO Box 787
Lebanon, TN 370880787
Email: psheehy@crackerbarrel.com

2. Date: 01/10/2012

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. Charlie Austin
307 Hartmann Drive
PO Box 787
Lebanon, Tennessee 370880787
Title: Restaurant Regional
Phone # (615) 444-5533

Designated Agent(s):

Michael Zylstra
305 Hartmann Drive
PO Box 787
Lebanon, Tennessee 370880787
Title: VP General Counsel &
Phone # (615) 235-4006

Banks or Depositories

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

Signed: Mr. Charlie Austin
Date Signed: 01/10/2012

FORM TEXT

(End FEC FORM 1)

Generated Wed Jul 10 20:05:17 2024