FEC Form 1 for INTERNATIONAL BOTTLED WATER ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for INTERNATIONAL BOTTLED WATER ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-909496

1. INTERNATIONAL BOTTLED WATER ASSOCIATION POLITICAL ACTION COMMITTEE

1700 DIAGONAL ROAD SUITE 650
ALEXANDRIA, VA 22314
Email: jtoner@bottledwater.org

NOTE: Email address is different than previously reported

2. Date: 02/21/2014

3. FEC Committee ID #: C00457226 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

International Bottled Water Association
1700 Diagonal Road
Suite 650
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James Toner
1700 Diagonal Road
Suite 650
Alexandria, VA 22314
Title: Assistant Treasurer
Phone # (703) 683-5213

Treasurer:

Shayron Barnes-Selby
5660 New Northside Drive
Suite 500
Atlanta, Georgia 30328
Title: Treasurer
Phone # (770) 989-8752

Designated Agent(s):

James Toner
1700 Diagonal Road
Suite 650
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 683-5213

Banks or Depositories

SunTrust Bank
1445 New York Avenue, NW
Washington, DC 20005

Signed: Shayron Barnes-Selby
Date Signed: 02/21/2014
Official Committee URL: http://www.bottledwater.org/

FORM TEXT

(End FEC FORM 1)

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