FEC Form 1 for Wine Institute Political Action CommitteeForm 1 for Wine Institute Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-766610

1. Wine Institute Political Action Committee

NOTE:Commmittee Name is different than previously reported

700 13th Street, NW, Suite 600
Washington, DC 20005
Email: PLGroup@perkinscoie.com

2. Date: 02/17/2012

3. FEC Committee ID #: C00065219 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

The Wine Institute
425 Market Street
San Francisco, California 94105
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sara Hope Murphy
700 13th Street, NW
Suite 600
Washington, DC 20005
Title: Treasurer

Treasurer:

Sara Hope Murphy
700 13th Street, NW
Suite 600
Washington, DC 20005
Title: Treasurer

Designated Agent(s):

Banks or Depositories

CitiBank
1400 G Street, NW
Washington, DC 20005

Signed: Sara Hope Murphy
Date Signed: 02/17/2012

(End FEC FORM 1)

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