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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-907281

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

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

2. Date: 02/11/2014

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:

Aimee Nicole Steel
800 17th Street, NW
Suite 1100
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 828-1895

Treasurer:

Shane Kunze
PO Box 407
Lakeland, Florida 58978
Title: Treasurer
Phone # (863) 688-1188

Designated Agent(s):

Lindsey Napier
2600 Delk Rd. SE
Marietta, Georgia 300676202
Title: Assistant Treasurer
Phone # (770) 857-2208

Banks or Depositories

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

Signed: Shane Kunze
Date Signed: 02/11/2014

(End FEC FORM 1)

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