FEC Form 1 for Xerox Corporation Political Action Committee (XPAC)Form 1 for Xerox Corporation Political Action Committee (XPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1128767

1. Xerox Corporation Political Action Committee (XPAC)

1800 M Street, NW
North Tower, Fifth Floor
Washington, DC 20036
Email: tanya.donalty@xerox.com

2. Date: 12/02/2016

3. FEC Committee ID #: C00207258 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

Xerox Corporation
1800 M Street, NW
North Tower, Fifth Floor
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Xerox Business Services, LLC Political
1800 M Street, NW
North Tower, 5th Floor
Washington, DC 20036
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Tanya Y. Donalty
1800 M Street, NW
North Tower, Fifth Floor
Washington, DC 20036
Title: Custodian of Records
Phone # (202) 962-7849

Treasurer:

Michele L Cahn
1800 M Street, NW
North Tower, Fifth Floor
Washington, DC 20036
Title: Treasurer
Phone # (202) 414-1288

Designated Agent(s):

Edwin Egee
1800 M Street, NW
North Tower, 5th Floor
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 962-7668

Banks or Depositories

JPMorgan Chase
One Chase Manhattan Plaza
7th Floor
New York, New York 10004

Signed: Michele L Cahn
Date Signed: 12/05/2016
Official Committee URL: www.x-pac.org

(End FEC FORM 1)

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