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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1567196

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1. PIM Brands Inc. Employee Political Action Committee

    One PIM Plaza
    Park Ridge, NJ 07656
    Email: nross@pimbrands.com;micropac@micropac.net

2. Date: 02/03/2022

3. FEC Committee ID #: C00803676 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

PIM Brands, Inc.
One PIM Plaza
Park Ridge, New Jersey 07656
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Bill Donelson
PO Box 24553
Nashville, TN 37202
Title: Custodian of Records
Phone # (615) 491-2140

Treasurer:

Norman Ross
PIM Brands, Inc.
One PIM Plaza
Park Ridge, New Jersey 07656
Title: PAC Treasurer
Phone # (954) 401-9540

Designated Agent(s):

Michael Rosenberg
PIM Brands, Inc.
One PIM Plaza
Park Ridge, New Jersey 07656
Title: CEO - PAC Chairman
Phone # (800) 369-7391

Banks or Depositories

PNC Bank
Two Tower Center Blvd, 17th Floor
East Brunswick, New Jersey 08816

Signed: Norman Ross
Date Signed: 02/03/2022

(End FEC FORM 1)

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