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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-846328

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1. BURGER KING Franchisee PAC

    NOTE:Commmittee Name is different than previously reported

    1701 Barrett Lakes Blvd. NW
    Suite 180
    Kennesaw, GA 30144
    Email: kaduncan@comerica.com

2. Date: 01/10/2013

3. FEC Committee ID #: C00329425 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

BURGER KING
1701 Barrett Lakes Blvd, NW
Suite 180
Kennesaw, Georgia 30144
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Linda Howe
1701 Barrett Lakes Blvd, NW
Suite 180
Kennesaw, GA 30144
Title: Controller
Phone # (678) 797-5160

Treasurer:

Matt Herridge
373 Timberline Pkwy
Vienna, West Virginia 26105
Title: Treasurer
Phone # (304) 865-2222

Designated Agent(s):

Misty Chally
1750 K Street, SW
Suite 200
Washington, DC 20006
Title: Assistant Treasurer
Phone # (202) 416-0270

Banks or Depositories

SunTrust Bank
1184 Barrett Pkwy
Kennesaw, Georgia 30144

Signed: Matt Herridge
Date Signed: 01/10/2013

FORM TEXT

(End FEC FORM 1)

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