FEC Form 1 for Delphi Corporation Political Action CommitteeForm 1 for Delphi Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1123821

1. Delphi Corporation Political Action Committee

5725 Delphi Drive
MC 483-400-510
Troy, MI 480982815

NOTE: Address is different than previously reported

Email: kaduncan@comerica.com

2. Date: 11/04/2016

3. FEC Committee ID #: C00346130 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

Delphi Corporation
5725 Delphi Drive
M/C 483-400-206
Troy, Michigan 480982815
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
PO Box 75000
MC 2250
Detroit, MI 48275
Title: Record Keeper
Phone # (248) 371-7045

Treasurer:

Rachelle R. Valdez
5725 Delphi Drive
MC 483-400-510
Troy, Michigan 48098
Title: Treasurer
Phone # (248) 813-2443

Designated Agent(s):

Banks or Depositories

Comerica Bank
PO Box 75000
PAC Services MC 2250
Detroit, Michigan 48275

Signed: Rachelle R. Valdez
Date Signed: 11/04/2016

FORM TEXT-1

(End FEC FORM 1)

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