FEC Form 1 for PepsiCo, Inc. Concerned Citizens FundForm 1 for PepsiCo, Inc. Concerned Citizens Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1354181

1. PepsiCo, Inc. Concerned Citizens Fund

700 Anderson Hill Road
Purchase, NY 105771401
Email: Kate.Balcerzak@pepsico.com;jkahl@wtplaw.com

2. Date: 09/25/2019

3. FEC Committee ID #: C00039321 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

Pepsico, Inc.
700 Anderson Hill Rd
Purchase, New York 105771401
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Osazode O. Imoisili
325 7th St NW
Washington, DC 200042818
Title: Custodian of Records
Phone # (202) 524-4899

Treasurer:

Ms. Kathryn Purcell Balcerzak
325 7th St NW
Washington, DC 200042818
Title: Treasurer
Phone # (202) 567-2944

Designated Agent(s):

Mr. Dan Christenson
325 7th St NW
Washington, DC 200042818
Title: Assistant Treasurer
Phone # (202) 567-2950

Banks or Depositories

BlackRock FFI Government Fund
PO Box 8118
Boston, Massachusetts 02266

Citibank, NA
220 Westchester Avenue
White Plains, New York 10604

Signed: Ms. Kathryn Purcell Balcerzak
Date Signed: 09/30/2019

FORM TEXT-1

(End FEC FORM 1)

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