FEC Form 1 for National Association of Convenience Stores Political Action CommitteeForm 1 for National Association of Convenience Stores Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-733550

1. National Association of Convenience Stores Political Action Committee

1600 Duke Street
Alexandria, VA 22314
Email: nacspac@gmail.com

2. Date: 07/07/2011

3. FEC Committee ID #: C00126763 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

National Association of Convenience Stores
1600 Duke Street
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Lyle Beckwith
1600 Duke Street
Alexandria, Virginia 22314
Title: Lobbyist
Phone # (703) 684-3600

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

SUNTRUST
1650 King Street
Alexandria, Virginia 22314

SUNTRUST Money Market
1650 King Street
Alexandria, Virginia 22314

Signed: Mr. Lyle Beckwith
Date Signed: 07/07/2011

(End FEC FORM 1)

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