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FEC Form 1 for Publix Super Markets, Inc. Associates Political Action CommitteeForm 1 for Publix Super Markets, Inc. Associates Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-808522


1. Publix Super Markets, Inc. Associates Political Action Committee

    PO Box 407
    Lakeland, FL 33811
    Email: pac@publix.com

2. Date: 08/20/2012

3. FEC Committee ID #: C00400705 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Publix Super Markets, Inc.
PO Box 407
Lakeland, Florida 33811
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Beth Salvosa
800 17th Street, NW
Suite 1100
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 663-7240

Treasurer:

Michelle Homan
P.O. Box 407
Lakeland, Florida 338020407
Title: Treasurer
Phone # (863) 688-1188

Designated Agent(s):

Michael Mitchell
P.O. Box 407
Lakeland, Florida 338020407
Title: Assistant Treasurer
Phone # (863) 680-5384

Banks or Depositories

Publix Employees Federal Credit Union
PO Box 1000
Lakeland, Florida 33802

Signed: Michelle Homan
Date Signed: 09/04/2012

(End FEC FORM 1)


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