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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-162634

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1. WALGREEN CO PAC

    104 WILMOT ROAD MS #1447
    DEERFIELD, IL 60015

    NOTE: Address is different than previously reported

    Fax: 8473154660

2. Date: 01/31/2005

3. FEC Committee ID #: C00160770 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Walgreen Company
104 Wilmot Rd
MS 1447
Deerfield, Illinois 60015
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Bryan Schneider
104 Wilmot Rd
MS 1447
Deerfield, IL 60015
Title: Assistant Treasurer
Phone # (847) 315-4440

Treasurer:

Edward King
104 Wilmot
MS 1447
Deerfield, Illinois 60015
Title: Treasurer
Phone # (847) 315-4931

Designated Agent(s):

Banks or Depositories

Banco Popular North America
P.O. Box 2057
Sanford, Florida 327722057

Signed: Edward King
Date Signed: 01/31/2005
Official Committee FAX: 8473154660

(End FEC FORM 1)

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