FEC Form 1 for MICHIGAN BEER AND WINE WHOLESALERS FEDERAL POLITICAL ACTION COMMITTEEForm 1 for MICHIGAN BEER AND WINE WHOLESALERS FEDERAL POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-755724

1. MICHIGAN BEER AND WINE WHOLESALERS FEDERAL POLITICAL ACTION COMMITTEE

332 TOWNSEND ST
LANSING, MI 48933
Email: amadden@mbwwa.org

NOTE: Email address is different than previously reported

2. Date: 12/20/2011

3. FEC Committee ID #: C00159855 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Michigan Beer & Wine Wholesalers Association
332 Townsend Street
Lansing, Michigan 48933
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Angela Madden
332 Townsend Street
Lansing, MI 48933
Title: Dir. of Leg & Pol Af
Phone # (517) 482-5555

Treasurer:

Michael J Lashbrook
332 Townsend
Lansing, Michigan 48933
Title: President
Phone # (517) 482-5555

Designated Agent(s):

Banks or Depositories

Fifth Third Bank
2501 Coolidge
East Lansing, Michigan 48823

Signed: Michael J Lashbrook
Date Signed: 12/20/2011
Official Committee URL: www.mbwwa.org

(End FEC FORM 1)

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