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FEC Form 1 for MillerCoors LLC PACForm 1 for MillerCoors LLC PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407603


1. MillerCoors LLC PAC

    1501 M Street NW
    Suite 330
    Washington, DC 20005
    Email: richard.crawford@millercoors.com

2. Date: 03/13/2009

3. FEC Committee ID #: C00457697 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

Committee ID# C00457697
MillerCoors LLC
3939 West Highland Boulevard
Milwaukee, Wisconsin 53208
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Richard Crawford
1501 M Street NW
Suite 330
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 737-4444

Treasurer:

Mr. Timothy H. Scully, Jr.
1501 M Street NW
Suite 330
Washington, DC 20005
Title: Treasurer
Phone # (202) 737-4444

Designated Agent(s):

Mr. Richard Crawford
1501 M Street
Suite 330
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 737-4444

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Mr. Timothy H. Scully, Jr.
Date Signed: 03/13/2009

(End FEC FORM 1)


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