FEC Form 1 for SOCIETY OF INDEPENDENT GASOLINE MARKETERS OF AMERICA PACForm 1 for SOCIETY OF INDEPENDENT GASOLINE MARKETERS OF AMERICA PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-755406

1. SOCIETY OF INDEPENDENT GASOLINE MARKETERS OF AMERICA PAC

3930 Pender Drive
Suite 340
Fairfax, VA 20121
Email: rfoster@sigma.org

NOTE: Email address is different than previously reported

2. Date: 12/20/2011

3. FEC Committee ID #: C00120030 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Society of Independent Gasoline Marketers of America
3930 Pender Drive
Suite 340
Fairfax, Virginia 22030
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James R Foster
3930 Pender Drive
Suite 340
Fairfax, VA 22030
Title: Political Engagement
Phone # (703) 709-7000

Treasurer:

James R Foster
3930 Pender Drive
Suite 340
Fairfax, Virginia 22030
Title: Political Engagement
Phone # (703) 709-7000

Designated Agent(s):

Ms Susan Gregg Rice
3930 Pender Drive
Suite 340
Fairfax, Virginia 22030
Title: Accountant
Phone # (703) 709-7000

Banks or Depositories

Wells Fargo Bank
PO Box 563966
Charlotte, North Carolina 28256

Signed: Ms Susan Gregg Rice
Date Signed: 12/20/2011
Official Committee URL: sigma.org

(End FEC FORM 1)

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