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FEC Form 1 for Fortune Brands, Inc. Political Action CommitteeForm 1 for Fortune Brands, Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-463572


1. Fortune Brands, Inc. Political Action Committee

    1301 K Street NW
    Suite 250 West Tower
    Washington, DC 20005
    Email: barbara.riegner@fortunebrands.com

    NOTE: Email address is different than previously reported

2. Date: 04/16/2010

3. FEC Committee ID #: C00473553 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# C00194126
Jim Beam Brands Co. Poltical Action Committee
1301 K Street NW
Suite 250 West Tower
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Fortune Brands, Inc.
520 Lake Cook Rd.
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Barbara Mae Riegner
1301 K Street NW
Suite 250 West Tower
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 962-0551

Treasurer:

Barbara Mae Riegner
1301 K Street NW
Suite 250 West Tower
Washington, DC 20005
Title: Treasurer
Phone # (202) 962-0551

Designated Agent(s):

Matt Stanton
1301 K Street, NW
Suite 250 West Tower
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 962-0551

Banks or Depositories

Sun Trust Bank, Greater Washington/Mar
1275 K Street NW
Washington, DC 20005

Signed: Barbara Mae Riegner
Date Signed: 04/16/2010

(End FEC FORM 1)


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