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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1064831

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1. WinCo Holdings, Inc. PAC ('WinPAC')

    650 N. Armstrong Pl.
    Boise, ID 83704
    Email: winpac@wincofoods.com

2. Date: 04/04/2016

3. FEC Committee ID #: C00546903 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

WinCo Holdings, Inc.
650 N Armstrong Pl
Boise, Idaho 83704
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jennifer Bennett
650 N Armstrong Pl
Boise, ID 83704
Title: Tax Accountant
Phone # (208) 672-3315

Treasurer:

David Butler
650 N. Armstrong Pl.
Boise, Idaho 83704
Title: Treasurer
Phone # (208) 377-0110

Designated Agent(s):

Ashley Hickerson
650 N. Armstrong Pl.
Boise, Idaho 83704
Title: Assistant Treasurer
Phone # (208) 377-0110

Banks or Depositories

US Bank
10541 Overland Road
Boise, Idaho 83709

Signed: David Butler
Date Signed: 04/04/2016

(End FEC FORM 1)

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