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-730147

1. Xerox Corporation Political Action Committee (XPAC)

1800 M Street, NW
North Tower, Suite 700
Washington, DC 20036
Email: tanya.donalty@acs-inc.com

NOTE: Email address is different than previously reported

2. Date: 05/23/2011

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, Suite 700
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Committee ID# C00248245
Affiliated Computer Services Inc. Good
1800 M Street NW
Ste 700
Washington, DC 20036
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Tanya Y. Donalty
1800 M Street, NW
North Tower, Suite 700
Washington, DC 20036
Title: Custodian of Records
Phone # (202) 776-1005

Treasurer:

Michele L Cahn
1800 M Street, NW
North Tower, Suite 700
Washington, DC 20036
Title: Treasurer
Phone # (202) 414-1288

Designated Agent(s):

Ken Adami
1800 M Street, NW
North Tower, Suite 700
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 378-2804

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 336225118

JPMorgan
101 South Tryon Street
Charlotte, North Carolina 28255

Signed: Michele L Cahn
Date Signed: 05/31/2011

(End FEC FORM 1)

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