FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-813070
1. Safelite Group Inc. PAC (aka Safelite PAC)
NOTE:Commmittee Name is different than previously reported
2400 Farmers DriveColumbus, OH 43235
Email: doug.herron@safelite.com,brian.dimasi@safelite.com
NOTE: Email address is different than previously reported
2. Date: 10/03/2012
3. FEC Committee ID #: C00526509 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Safelite Group Inc.2400 Farmers Drive
Columbus, Ohio 43235
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Mr. Douglas A Herron2400 Farmers Drive
Columbus, Ohio 43235
Title: Treasurer
Phone # (614) 210-9199
Designated Agent(s):
Mr. Brian Dimasi2400 Farmers Drive
Columbus, Ohio 43235
Title: Assistant Treasurer
Phone # (614) 210-9249
Banks or Depositories
Bank of America100 North Tryon Street
Charlotte, North Carolina 28255