FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-494115
1. SOCIETY OF INDEPENDENT GASOLINE MARKETERS OF AMERICA PAC
3930 Pender DriveSuite 340
Fairfax, VA 20121
Email: srice@sigma.org
NOTE: Email address is different than previously reported
2. Date: 04/29/2010
3. FEC Committee ID #: C00120030 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Society of Independent Gasoline Marketers of America3930 Pender Drive
Suite 340
Fairfax, Virginia 22030
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Susan Rice3930 Pender Drive
Suite 340
Fairfax, VA 22030
Title: Accountant
Phone # (703) 709-7000
Treasurer:
Susan Rice3930 Pender Drive
Suite 340
Fairfax, Virginia 22030
Title: Accountant
Phone # (703) 709-7000
Designated Agent(s):
Ms Susan Gregg Rice3930 Pender Drive
Suite 340
Fairfax, Virginia 22030
Title: Accountant
Phone # (703) 709-7000
Banks or Depositories
Wachovia BankPO Box 563966
Charlotte, North Carolina 28256