FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-515682
1. Ohio Petroleum Marketers and Convenience Store Association Pol Action Cmte (OPMCA PAC)
17 S High StreetSuite 810
Columbus, OH 43215
NOTE: Address is different than previously reported
Email: jrhoads@opmca.org2. Date: 11/04/2010
3. FEC Committee ID #: C00482182 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Ohio Petroleum Marketers and Convenience Store Association17 S High Street
Suite 810
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Comerica Bank, PAC ServicesP.O. Box 75000
MC 2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7269
Treasurer:
Nancy CushmanP.O. Box 75000
MC 2250
Detroit, Michigan 482752250
Title: Treasurer
Phone # (248) 371-5662
Designated Agent(s):
Banks or Depositories
Comerica BankP.O. Box 75000
Detroit, Michigan 482752250