FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-772525
1. Commonwealth-Altadis, Inc. Employee PAC
900 Church StreetPO Box 51587
Bowling Green, KY 42101
Email: yvonne.cowles@us.imptob.com
2. Date: 03/28/2012
3. FEC Committee ID #: C00455600 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Commonwealth-Altadis, Inc.900 Church Street
Bowling Green, Kentucky 42101
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Hines Hattie900 Church Street
Bowling Green, Kentucky 42101
Title: Administrative Assis
Phone # (270) 781-9100
Designated Agent(s):
Hattie HinesPO Box 51587
900 Church Street
Bowling Green, Kentucky 42101
Title: Administrative Assis
Phone # (270) 781-9100
Banks or Depositories
South Central BankLehman Avenue
Bowling Green, Kentucky 42101