FEC Form 1 for Pernod Ricard USA, LLC Political Action CommitteeForm 1 for Pernod Ricard USA, LLC Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-789079

1. Pernod Ricard USA, LLC Political Action Committee

100 Manhattanville Road
Purchase, NY 10577
Email: PAC@PERNOD-RICARD-USA.COM

2. Date: 06/08/2012

3. FEC Committee ID #: C00380527 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

Pernod Ricard USA LLC
100 Manhattanville Road
Purchase, New York 10577
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Thomas R Lalla
100 Manhattanville Road
Purchase, NY 10577
Title: Ass. Treasurer
Phone # (914) 848-4800

Treasurer:

John Gemma
100 Manhattanville Road
Purchase, New York 10577
Title: Treasurer
Phone # (914) 848-4800

Designated Agent(s):

John Gemma
100 Manhattanville Road
Purchase, New York 10577
Title: Ass Treasurer
Phone # (914) 848-4800

Banks or Depositories

Bank of America
NC1-002-27-05
101 South Tryon Street
Charlotte, North Carolina 28255

Signed: John Gemma
Date Signed: 06/05/2012

(End FEC FORM 1)

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