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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-15631

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1. Quaker's OAT-PAC

    321 North Clark Street
    Chicago, IL 60610
    Email: john_kavanagh@quakeroats.com

2. Date: 06/28/2001

3. FEC Committee ID #: C00022996 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Victoria Siwek
321 North Clark Street
Chicago, IL 60610
Phone # (312) 222-7382

Treasurer:

John Kavanagh
321 North Clark Street
Chicago, Illinois 60610
Title: Treasurer
Phone # (312) 222-7847

Designated Agent(s):

Victoria Siwek
321 North Clark Street
Chicago, Illinois 60610
Phone # (312) 222-7382

Banks or Depositories

Northern Trust Bank
50 South LaSalle Street
Chicago, Illinois 60675

Signed: Mr. John B. Kavanagh
Date Signed: 06/28/2001
Official Committee URL: quakeroats.com

(End FEC FORM 1)

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