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FEC Form 1 for WIN-PAC of Winn-Dixie Stores Inc.Form 1 for WIN-PAC of Winn-Dixie Stores Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-195644


1. WIN-PAC of Winn-Dixie Stores Inc.

    5050 Edgewood Court
    Jacksonville, FL 32254
    Fax: 9046706388

2. Date: 05/04/2004

3. FEC Committee ID #: C00033092 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Winn-Dixie Stores Inc.
5050 Edgewood Court
Jacksonville, Florida 32254
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Jeffrey Gleason
5050 Edgewood Court
Jacksonville, FL 32254

Treasurer:

Jeffrey Gleason
5050 Edgewood Court
Jacksonville, Florida 32254

Designated Agent(s):

Banks or Depositories

Wachovia Bank
PO BOX 563966
Charlotte, North Carolina 28262

Merrill Lynch-Service Charge
4800 Deerlake Drive E Suite 1A
Jacksonville, Florida 32246

Signed: Jeffrey Gleason
Date Signed: 01/10/2006
Official Committee FAX: 9046706388

(End FEC FORM 1)


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