FEC Form 1 for Burger King Corporation Political Action CommitteeForm 1 for Burger King Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-811291

1. Burger King Corporation Political Action Committee

5505 Blue Lagoon Drive
Miami, FL 33126
Email: PLGroup@perkinscoie.com

2. Date: 09/20/2012

3. FEC Committee ID #: C00368803 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

Burger King Corporation
5505 Blue Lagoon Drive
Miami, Florida 33126
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jill Granat
5505 Blue Lagoon Drive
Miami, FL 33126
Title: Treasurer

Treasurer:

Jill Granat
5505 Blue Lagoon Drive
Miami, Florida 33126
Title: Treasurer

Designated Agent(s):

Banks or Depositories

BB&T
Old Cutler Banking Center
16800 Old Cutler Road
Miami, Florida 33157

Signed: Jill Granat
Date Signed: 09/20/2012

(End FEC FORM 1)

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