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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407928

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1. Safeway Inc. Political Action Committee (Safeway PAC)

    5918 Stoneridge Mall Road
    Pleasanton, CA 94588
    Email: rachel.zenner@safeway.com

2. Date: 03/17/2009

3. FEC Committee ID #: C00194084 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Safeway Inc.
5918 Stoneridge Mall Road
Pleasanton, California 94588
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Rachel Zenner Kane
5918 Stoneridge Mall Road
Pleasanton, CA 94588
Title: Treasurer
Phone # (925) 467-3102

Treasurer:

Rachel Zenner Kane
5918 Stoneridge Mall Road
Pleasanton, California 94588
Title: Treasurer
Phone # (925) 467-3102

Designated Agent(s):

Shannon Campagna
5918 Stoneridge Mall Road
Pleasanton, California 94588
Title: Assistant Treasurer
Phone # (202) 239-3928

Banks or Depositories

Bank of America
P.O. Box 27128
Concord, California 94520

Signed: Rachel Zenner Kane
Date Signed: 03/17/2009

(End FEC FORM 1)

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