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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-722958

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1. DELHAIZE AMERICA POLITICAL ACTION COMMITTEE

    PO BOX 1330
    2110 EXECUTIVE DRIVE
    SALISBURY, NC 28145
    Email: jcgardner@foodlion.com

    NOTE: Email address is different than previously reported

2. Date: 04/13/2011

3. FEC Committee ID #: C00214304 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Custodian of Records:

Mark Powers
PO Box 1330
Salisbury, NC 28145
Title: Government Relations
Phone # (704) 633-8250

Treasurer:

W TEROSS YOUNG
PO Box 1330
Salsibury, North Carolina 28145
Title: V.P. of GR
Phone # (704) 633-8250

Designated Agent(s):

Jennifer Gardner
PO Box 1330
Salisbury, North Carolina 28145
Title: Government Relations
Phone # (703) 633-8250

Banks or Depositories

WACHOVIA BANK AND TRUST
866 Jake Alexander Blvd
Salisbury, North Carolina 28147

Signed: W TEROSS YOUNG
Date Signed: 04/13/2011

FORM TEXT

(End FEC FORM 1)

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