FEC Form 1 for Dominos Pizza LLC Political Action Committee (Dominos Pizza PAC)Form 1 for Dominos Pizza LLC Political Action Committee (Dominos Pizza PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-297721

1. Dominos Pizza LLC Political Action Committee (Dominos Pizza PAC)

30 Frank Lloyd Wright Drive
Ann Arbor, MI 48106
Email: Michele_K_Dempsey@Comerica.com

2. Date: 07/25/2007

3. FEC Committee ID #: C00366088 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Dominos Pizza LLC
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Relationship: CONNECTED
Organization Type: Corporation

Custodian of Records:

COMERICA BANK PAC SERVICES
P.O. BOX 75000
MC 2250
DETROIT, MI 482752250
Title: RECORDKEEPER
Phone # (248) 371-7270

Treasurer:

JEFFREY D. LAWRENCE
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: TREASURER
Phone # (734) 930-3205

Designated Agent(s):

MICHELLE HOOK
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: ASST. TREASURER
Phone # (734) 930-3583

Banks or Depositories

COMERICA BANK
PAC SERVICES MC 2250
P.O. BOX 75000
DETROIT, Michigan 482752250

Signed: Jeffrey D. Lawrence
Date Signed: 07/25/2007

(End FEC FORM 1)

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