FEC Form 1 for Dominion Energy, Inc. Political Action Committee - Dominion PACForm 1 for Dominion Energy, Inc. Political Action Committee - Dominion PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1162333

1. Dominion Energy, Inc. Political Action Committee - Dominion PAC

One James River Plaza, 20th Floor
P.O. Box 26666
Richmond, VA 23261
Email: kaduncan@comerica.com

NOTE: Email address is different than previously reported

2. Date: 05/15/2017

3. FEC Committee ID #: C00108209 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

Dominion Energy, Inc.
120 Tredegar Street
Richmond, Virginia 23219
Affiliated Relationship Code: Connected Organization

Dominion Energy Inc PAC - CT
One James River Plaza
20th Floor
Richmond, Virginia 23219
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC 2250
Detroit, MI 482752250
Title: Record Keeper
Phone # (248) 371-7045

Treasurer:

Brett Crable
701 E. Cary Street
Richmond, Virginia 23219
Title: Treasurer
Phone # (248) 371-7045

Designated Agent(s):

Edward Baine
120 Tredegar Street
Richmond, Virginia 23219
Title: Asst Treasurer
Phone # (804) 819-2094

Wendy Wellener
120 Tredegar Street
Richmond, Virginia 23219
Title: Chairman
Phone # (804) 819-2608

Banks or Depositories

Comerica Bank
PAC Services, MC 2250
P.O. Box 75000
Detroit, Michigan 482752250

Signed: Brett Crable
Date Signed: 05/15/2017

FORM TEXT-1

(End FEC FORM 1)

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