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FEC Form 1 for Wawa Inc. Political Action CommitteeForm 1 for Wawa Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-280520


1. Wawa Inc. Political Action Committee

    c/o Elko & Associates Ltd
    2 W. Baltimore Avenue Suite 210
    Media, PA 19063

    NOTE: Address is different than previously reported

    Fax: 6105661040
    Email: dclapcich@elkocpa.com

2. Date: 08/09/2006

3. FEC Committee ID #: C00148510 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Wawa Inc.
260 West Baltimore Pike
Wawa, Pennsylvania 10963
Relationship: Parent Company
Organization Type: Corporation

Custodian of Records:

Mr. David John Clapcich
2 W. Baltimore Avenue
Suite 210
Media, PA 19063
Title: Report Preparer
Phone # (610) 565-3930

Treasurer:

Mr. Leonard Vincent Santivasi
2 West 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

Wachovia Bank NA
217 West Baltimore Avenue
Media, Pennsylvania 19063

Signed: Mr. Leonard Vincent Santivasi
Date Signed: 03/10/2007
Official Committee FAX: 6105661040

(End FEC FORM 1)


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