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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1104082

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1. Wawa, Inc. Political Action Committee

    c/o WIPFLi, LLP
    2 W. Baltimore Avenue, Suite 210
    Media, PA 19063

    NOTE: Address is different than previously reported

    Email: rmost@wipfli.com;jspuler@wipfli.com

    NOTE: Email address is different than previously reported

2. Date: 10/11/2016

3. FEC Committee ID #: C00148510 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Wawa, Inc.
260 West Baltimore Pike
Wawa, Pennsylvania 10963
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Rachel Jennifer Most
2 W. Baltimore Avenue, Suite 210
Media, PA 19063
Title: Report Preparer
Phone # (610) 565-3930

Treasurer:

Mr. John Nihill
2 W. Baltimore Avenue
Suite 210
Media, Pennsylvania 19063
Title: Treasurer
Phone # (610) 565-3930

Designated Agent(s):

Mark Suprenant
260 West Baltimore Pike
Wawa, Pennsylvania 19063
Title: Secretary/Counsel
Phone # (610) 361-3607

Banks or Depositories

Wells Fargo Bank
217 W. Baltimore Avenue
Media, Pennsylvania 19063

Signed: Mr. John Nihill
Date Signed: 10/11/2016

(End FEC FORM 1)

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