FEC Form 1 for General Motors Company Political Action Committee (GM PAC)Form 1 for General Motors Company Political Action Committee (GM PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-426638

1. General Motors Company Political Action Committee (GM PAC)

NOTE:Commmittee Name is different than previously reported

25 Massachusetts Avenue, NW
Suite 400
Washington, DC 20001

2. Date: 07/23/2009

3. FEC Committee ID #: C00076810 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

General Motors Company
25 Massachusetts Avenue, NW
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Peter Sherman
44 Canal Center Plaza
Alexandria, VA 22314
Title: Custodian of Records
Phone # (703) 684-9690

Treasurer:

Thomas W. Jeffers
300 Renaissance Center, MC 482-C27
Detroit, Michigan 48265
Title: Treasurer
Phone # (313) 667-8899

Designated Agent(s):

Annette Guarisco
25 Massachusetts Avenue, NW
Suite 400
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 775-5080

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-426638

1. General Motors Company Political Action Committee (GM PAC)

NOTE:Commmittee Name is different than previously reported

2. Date: 07/23/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Thomas W. Jeffers
Date Signed: 07/23/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-426638

1. General Motors Company Political Action Committee (GM PAC)

NOTE:Commmittee Name is different than previously reported

2. Date: 07/23/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Thomas W. Jeffers Date Signed: 07/23/2009

(End FEC FORM 1)

Signed: Thomas W. Jeffers
Date Signed: 07/23/2009