FEC Form 1 for National Association of Chain Drug Stores, Inc. Political Action CommitteeForm 1 for National Association of Chain Drug Stores, Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-859283

1. National Association of Chain Drug Stores, Inc. Political Action Committee

NOTE:Commmittee Name is different than previously reported

1776 Wilson Boulevard
Suite 200
Arlington, VA 22209
Email: jldavis@nacds.org

2. Date: 03/07/2013

3. FEC Committee ID #: C00022368 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Association of Chain Drug Stores, Inc.
1776 Wilson Boulevard
Suite 200
Arlington, Virginia 22209
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David M. Fitzsimmons
1776 Wilson Boulevard
Suite 200
Arlington, VA 22209
Title: Treasurer
Phone # (703) 549-3001

Treasurer:

David M. Fitzsimmons
1776 Wilson Boulevard
Suite 200
Arlington, Virginia 22209
Title: Treasurer
Phone # (703) 549-3001

Designated Agent(s):

David M. Fitzsimmons
1776 Wilson Boulevard
Suite 200
Arlington, Virginia 22209
Title: Treasurer
Phone # (703) 838-9541

Banks or Depositories

Suntrust Bank
P. O. Box 622227
Orlando, Florida 328622227

Dreyfus Gov't Cash Management
200 Park Ave.
8th Floor
New York, New York 10166

Signed: David M. Fitzsimmons
Date Signed: 03/07/2013

FORM TEXT

(End FEC FORM 1)

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