FEC Form 1 for Publix Super Markets Inc. Associates Political Action CommitteeForm 1 for Publix Super Markets Inc. Associates Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-311915

1. Publix Super Markets Inc. Associates Political Action Committee

Po Box 407
Lakeland, FL 33802
Fax: 8632845535
Email: justin.Middleton@publix.com

2. Date: 11/27/2007

3. FEC Committee ID #: C00400705 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

John Justin Middleton
PO Box 407
Lakeland, Florida 33811

Designated Agent(s):

Banks or Depositories

Signed: John Justin Middleton
Date Signed: 11/27/2007
Official Committee FAX: 8632845535

(End FEC FORM 1)

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