FEC Form 1 for ELECTRIC POWER SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for ELECTRIC POWER SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-440812

1. ELECTRIC POWER SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEE

1401 New York Avenue, NW
11th Floor
WASHINGTON, DC 20005

NOTE: Address is different than previously reported

Email: nbuttar@epsa.org

2. Date: 11/23/2009

3. FEC Committee ID #: C00326009 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Electric Power Supply Association
1401 New York Avenue, NW
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Navneet Buttar
1401 New York Avenue, NW
11th Floor
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 628-8200

Treasurer:

Mr. John E. Shelk
4845 Yorktown Boulevard
Arlington, Virginia 22207
Title: Treasurer
Phone # (703) 538-6776

Designated Agent(s):