FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-765620
1. UniSource Energy Corporation PAC
88 E. Broadway Boulevard, HQE901P.O. Box 711
Tucson, AZ 85702
Email: klarson@unisourceenergy.com jespencer@tep.com
2. Date: 11/23/2011
3. FEC Committee ID #: C00333625 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
UniSource Energy Corporation88 E. Broadway Boulevard, HQE901
P.O. Box 711
Tucson, Arizona 85702
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Joseph M. Salkowski88 E. Broadway Boulevard, HQE503
P.O. Box 711
Tucson, AZ 85702
Title: Mgr Gvt Relations
Phone # (520) 884-3625
Treasurer:
Kevin P. Larson88 E. Broadway Boulevard, HQE901
P.O. Box 711
Tucson, Arizona 85702
Title: Sr VP CFO & Treas
Phone # (520) 884-3660
Designated Agent(s):
Kentton C. Grant88 E. Broadway Boulevard, HQE802
P.O. Box 711
Tucson, Arizona 85702
Title: VP Fin & Rates
Phone # (520) 884-3614
Banks or Depositories
Wells Fargo Bank150 N. Stone Avenue
2nd Floor
Tucson, Arizona 85701