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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-729938

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1. DELHAIZE AMERICA, LLC POLITICAL ACTION COMMITTEE

    NOTE:Commmittee Name is different than previously reported

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

2. Date: 05/25/2011

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

Affiliated Committees/Organizations

Delhaize America, LLC
P.O. Box 1330
Salisbury, North Carolina 281451330
Affiliated Relationship Code: Connected Organization

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
P.O. Box 1330
Salisbury, North Carolina 281451330
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: 05/25/2011

FORM TEXT

(End FEC FORM 1)

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