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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1286144

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1. RITE AID CORPORATION PAC

    30 HUNTER LANE
    CAMP HILL, PA 17011
    Email: micropac@micropac.net,dhurley@riteaid.com

    NOTE: Email address is different than previously reported

2. Date: 10/28/2018

3. FEC Committee ID #: C00104083 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

RITE AID CORPORATION
30 HUNTER LANE
CAMP HILL, Pennsylvania 17011
Affiliated Relationship Code: Connected Organization

Custodian of Records:

BILL DONELSON
PO BOX 24553
NASHVILLE, TN 372024553
Title: CUSTODIAN OF RECORDS
Phone # (615) 845-7080

Treasurer:

BYRON J PURCELL
30 HUNTER LANE
CAMP HILL, Pennsylvania 17011
Title: SR DIR TREASURY SVCS
Phone # (717) 975-5809

Designated Agent(s):

JERMAINE SMITH
30 HUNTER LANE
CAMP HILL, Pennsylvania 17011
Title: SR DIR LEG & REG AFF
Phone # (717) 214-8859

Banks or Depositories

M & T BANK
1002 NORTH 7TH STREET
HARRISBURG, Pennsylvania 17102

Signed: BYRON J PURCELL
Date Signed: 10/28/2018

(End FEC FORM 1)

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