FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-808522
1. Publix Super Markets, Inc. Associates Political Action Committee
PO Box 407Lakeland, FL 33811
Email: pac@publix.com
2. Date: 08/20/2012
3. FEC Committee ID #: C00400705 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Publix Super Markets, Inc.PO Box 407
Lakeland, Florida 33811
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Beth Salvosa800 17th Street, NW
Suite 1100
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 663-7240
Treasurer:
Michelle HomanP.O. Box 407
Lakeland, Florida 338020407
Title: Treasurer
Phone # (863) 688-1188
Designated Agent(s):
Michael MitchellP.O. Box 407
Lakeland, Florida 338020407
Title: Assistant Treasurer
Phone # (863) 680-5384
Banks or Depositories
Publix Employees Federal Credit UnionPO Box 1000
Lakeland, Florida 33802